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ALT SUNDAY QUESTION Which one of the following statements is correct regarding the pathophysiology and clinical presentation of a patient with Ramsay Hunt syndrome? a). The patient does not require any further infection control advice b). Facial weakness with vesicles on the contralateral side of the tongue is a diagnostic feature c). Ramsay Hunt syndrome causes an upper motor neurone weakness of the facial muscles d). The rash may be present on the side of the neck
ALT A young male is brought to you with a 7/7 history of gradually worsening headache and lethargy. He is from Uganda and has recently been home to see his family. He is cachexic and lethargic. He has a temp of 37.9oC. Which of the following is correct? a). This presentation is unlikely to be TB meningitis due to the sub-acute course b). You would expect CSF analysis to show very high levels of protein and high levels of glucose in TB meningitis c). Immunocompromised patients are at increased risk from Cryptococcus, toxoplasmosis and TB meningitis d). Brain abscesses are more common in females than males
ALT A young male is brought to you with a 7/7 history of gradually worsening headache and lethargy. He is from Uganda and has recently been home to see his family. He is cachexic and lethargic. He has a temp of 37.9oC. Which of the following is correct? a). This presentation is unlikely to be TB meningitis due to the sub-acute course b). You would expect CSF analysis to show very high levels of protein and high levels of glucose in TB meningitis c). Immunocompromised patients are at increased risk from Cryptococcus, toxoplasmosis and TB meningitis d). Brain abscesses are more common in females than males
ALT A 21-year-old female presents to Emergency Department (ED) with 6 day history of occipital headache and seeing flashing lights. She has otherwise been well with no fevers or collapses. PMH: Mitochondrial 3243 A>G Mutation O/E: Left-sided homonymous hemianopia, otherwise normal. VBG: pH 7.37, Lactate 3.7