SAH

Question 1

The likely Dx → Subdural hematoma.

Answer 1

Chronic Alcoholic + Hx of fall + Slow onset/ progress of symptom

Question 2

Investigation?

Answer 2

First line → Non-contrast CT, if it is inconclusive → LP, still? → MRI

Question 3

After the diagnosis of SAH has been confirmed, we need to identify the origin
(site) by??

Answer 3

After the diagnosis of SAH has been confirmed, we need to identify the origin
(site) by either → Cerebral Angiography (or) CT Angiography.

Question 4

Essential tremor?
Relieving factors?
Worse when?

Answer 4

Tremors that are ABSENT at rest and during sleep, and DO NOT resolve
with distraction

Worse when patient is tired or stressed. Start symmetrical,
improve with alcohol consumption.

Question 5

→ Middle Cerebral Artery (MCA) Stroke

Answer 5

◙ Contralateral Paralysis and Sensory Loss (Face and Arm)
+ Ipsilateral Gaze Preference