Approach to increased intracranial pressure Quiz: Ace Your Exams
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A 70-year-old man is brought to the emergency department for evaluation of left-sided weakness. While playing with a grandchild earlier, the patient reported an intense headache followed by numbness in the left arm. There is no history of recent trauma. Medical history includes type 2 diabetes mellitus, hypertension, and hyperlipidemia. Medications are metformin, lisinopril, and simvastatin. Temperature is 37.0°C (98.6°F), pulse is 60/min, respirations are 10/min, and blood pressure is 210/102 mmHg. On examination, the patient is drowsy and confused and reports nausea and a headache. Bilateral papilledema is noted. National Institutes of Health Stroke Scale (NIHSS) is 21 (range 0-42), with dense left hemiplegia with sensory and visual neglect. Computed tomography (CT) of the head is ordered. Which of the following findings would be expected on imaging?
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