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Published 30 September 2009, doi:10.1136/bmj.b3940
Cite this as: BMJ 2009;339:b3940
| The first 150 words of the full text of this article appear below. |
The answers to this question, and more questions on this topic, are available from www.onexamination.com/endgames until midnight on Wednesday.
This weeks quiz is on intracranial pathology and is taken from the OnExamination revision questions for the Royal College of Physicians of Ireland part 2 written exam.
A 65 year old Asian woman was referred to the emergency department with a history of nausea, vomiting, and headache that had persisted for several days. She did not speak English and unfortunately there was no one available to translate her history. She had a letter from her general practitioner that showed she had registered with the practice recently, having emigrated from India with her son. She had type 2 diabetes and atrial fibrillation; her regular medications included metformin, digoxin, and warfarin.
On examination, the patient seemed apathetic and drowsy with a Glasgow coma scale of 14-15. Her blood pressure was 145/75 mm Hg,
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