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5259 Medicine

A 25 year old male known case of Sturge Weber syndrome with HBS positive status presented to you with complaints of high grade fever with chills and rigor followed by pleuritic chest pain. He staed to have cough, breathlessness and yellow sputum. Chest X – ray showed nonhomogenous opacity in the right lower zone with air bronchogram. What would be the diagnosis in this setting:

APneumonia
BPulmonary infarction
CPulmonary hemorrhage
DPoo pulmonary hypeension
Medicine
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5261 Medicine

A 35-year-old previously healthy woman suddenly develops a severe headache while lifting weights. A minute later she has transient loss of consciousness. She awakes with vomiting and a continued headache. She describes the headache as “the worst headache of my life.” She appears uncomfortable and vomits during the physical examination. Blood pressure is 140/85, pulse rate is 100/min, respirations are 18/min, and temperature is 36.8degC (98.2degF). There is neck stiffness. Physical examination, including careful cranial nerve and deep tendon reflex testing, is otherwise normal. Which of the following is the best next step in evaluation?

ACT scan without contrast
BCT scan with contrast
CCerebral angiogram
DHolter monitor
Medicine
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