Subarachnoid hemorrhage Quiz: Ace Your Exams
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A 41-year-old woman presents to the emergency department for evaluation of a severe headache for the past 10 hours that started when she woke up in the morning. The patient states that she had a milder headache 4 days ago. She has no prior history of headaches. She has now developed, in addition to a persistent headache, neck stiffness and sensitivity to light. She has a past medical history of Ehlers-Danlos syndrome. She takes no medication. Temperature is 37.0°C (98.6°F), heart rate is 70/min, respirations are 18/min, and blood pressure is 122/80 mmHg. The patient is in distress secondary to pain. She is alert and oriented. She has pain with passive knee extension when lying supine with her hips flexed at 90°. Fundoscopy, serum leukocyte count, and CT of the head without contrast are normal. Which of the following additional findings would most likely be present upon further evaluation?
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