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Thanks to the medical pulse nerve station friend @ for sharing the case patient: Xiong, female, 84 years old.
Brief medical history: Admitted to hospital for 2 days due to slurred speech and unstable walking.
He had a history of hypertension and was treated with amlodipine besylate tablets.
Physical examination: blood pressure 119/66mmHg is conscious and articulate is not clear.
The advanced smart check is normal.
The nasolabial fold on the right is shallow.
The muscle strength of the right limb is 5-level.
Freemasonry movement is normal.
October 23: PT 51 seconds, INR 5.
68, no bleeding symptoms and signs all over the body.
Re-examination on October 24: PT 61.
7 seconds, INR 7.
13.
On October 25, the PT was reviewed for 76.
8 seconds, INR 9.
27, and vitamin K1 10mg was used.
One day later, the PT was reviewed for 17.
5 seconds, INR 1.
57, and the coagulation abnormality was corrected.
Denies the history of exposure to toxicants.
The MRI examinations on October 23 and October 30 are as shown in the figure below.
The cause of the blood coagulation abnormality and the lesions of the corpus callosum is not clear.
What do you think is the cause of the patient's illness? Click to enter the mini program, check the answer, and enter the mini program below [Yimaitong case exchange] to learn and discuss with your comrades! ☟☟☟ ↓↓↓Click to read the original text, view the answer and more videos and discussions~
