Thursday, March 09, 2006

 

Bradycardia+headache E4M6V5



Recently I encounter a 60 y/o male patient c/o headache 2 days ago and now still dizziness, nearly faint and unstable gait when standing. He came to triage with vital signs: 145/81 45 20 36.6 C. Coma scale E4M6V5. I am wondering there is no chest tightness nor chest pain, why the EKG showed sinus bradycardia. But patient mention he had unstable gait that nearly tilted to one side on standing, so I order a brain CT scan and shown above. What do you see and what will you do?


##Still trying wordpress blog page but the size of photo is too small, so I upload this case here in blogger##

# posted by ER Palm @ 5:52 PM
Comments:
= if the T wave showed cerebral T wave, indicates CVA related T wave change. T wave inverted and deep shaped - cerebral T
= another way is detailed N.E. (neurological exam)
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