An 81-Year-Old Patient with Heart Failure Comes into the Emergency

question 11

Multiple Choice

An 81-year-old patient with heart failure comes into the emergency room accompanied by his daughter.The daughter reports that her father "banged his head" as he was getting out of the car 4 days ago.He did not complain of headache pain,so she did not obtain medical advice.She reports that she noticed a mild facial droop,slurring of speech,and gait disturbance in her father today.She reports that her father takes Coumadin,digoxin,and an ACE inhibitor.On physical examination,there is decreased right hand grip 2/5 strength and decreased right quadriceps strength 2/ 5 compared to the left side 5/5.CT scan shows an intracranial bleed.Which of the following is the most probable diagnosis?

• A) Subarachnoid hemorrhage
• B) Epidural hematoma
• C) Subdural hematoma
• D) Intracerebral hemorrhage

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Definitions:

Week

A time unit consisting of seven days.

Probability

A measure of the likelihood that an event will occur, expressed as a number between 0 and 1 where 0 indicates impossibility and 1 indicates certainty.

Flipping

The act of turning something over to its opposite side or changing its position, often used metaphorically to describe a dramatic change in perspective or situation.

Quarter

A three-month period on a financial calendar that acts as a basis for periodic financial reporting and dividend payments.