Creutzfeldt-Jakob disease

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Creutzfeldt-Jakob disease

Psychological disorders

Eating disorders and impulse-control disorders

Factitious disorders

Medication-induced movement disorders and other adverse effects of medication

Somatic symptoms and related disorders

Flashcards

Creutzfeldt-Jakob disease

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Questions

USMLE® Step 1 style questions USMLE

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Start
A 56-year-old man comes to the PA, accompanied by his partner, for evaluation of “abnormal movements that occur while he sleeps.” Symptoms began around four months ago. According to the partner, the patient has on multiple occasions exhibited various movements, such as throwing a ball or punching invisible objects, while asleep. The partner has been sleeping in the guest bedroom for the past several weeks to avoid getting hurt by him. The patient is unaware of these activities, but he recalls vivid dreams of playing baseball and fighting off home invaders. Past medical history is noncontributory. His temperature is 37.6°C (99.7°F), blood pressure is 138/87 mmHg, and pulse is 17/min. The PA orders a polysomnogram, which reveals REM sleep without atonia. Which of the following findings is this patient likely to develop in the future? 

Key Takeaways

An epidural hematoma is a collection of blood above the dura matter, usually due to a head trauma. When blood accumulates in this space, it can result in raised intracranial pressure, damaging delicate nerve cells.

Epidural hematomas are most commonly caused by head injuries, such as those sustained in car accidents or falls. They can also be associated with childbirth (in newborns), cancer, or certain medical procedures. Symptoms vary depending on the size and location of the hematoma, but may include a headache, nausea and vomiting, loss of consciousness, seizures, or paralysis.