Exam 15: Neurological System

A female patient presents to the clinic with complaints of a severe, throbbing, unilateral headache. She complains of seeing flashes of light prior to the headache. She complains of sound and light sensitivity, as well as nausea. The clinician should recognize these as symptoms of:

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. Computed tomography scan shows an intracranial bleed. Which of the following is the most probable diagnosis?

Which of the following microorganisms is a common cause of meningitis?

A 65-year-old male complains of a headache that feels "like a knife is cutting into my head." He also reports feeling right-sided scalp and facial pain, and seeing double at times. He has a history of hypertension and hyperlipidemia. His medications include a beta blocker, statin drug, and ACE inhibitor. On physical examination, you note palpable tenderness over the right side of the forehead. There are no neurological deficits. Vision is 20/20 with lenses. No weakness of extremities. Cranial nerves II to XII are intact. The history corresponds to which of the following disorders?

A 43-year-old male presents to the emergency department in a stupor, accompanied by his wife. She called the ambulance because her husband was difficult to awaken this morning. She reports that for the last 3 days he has had a fever and an upper respiratory infection. Yesterday he had a headache. He has had no medical treatment. On physical examination, the patient demonstrates 103°F fever, sluggish pupil response, and nuchal rigidity. Which of the following should the clinician attempt to elicit next?