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3 years ago

The case begins with a 23 year old woman who presents to her

The case begins with a 23 year old woman who presents to her

…revealing a

…revealing a significant intracranial hemorrhage. There were 4 areas of intraparenchymal hemorrhage noted on this initial CT, the largest shown here in the right frontal lobe with surrounding edema and a small amount of midline shift. A repeat CT 11 hours later… Right frontal: 3.4 x 3.1 cm with a 3 mm right-to-left midline shift, surrounding vasogenic edema Left posterior corpus callosum: 1.3 cm Left posterior frontal lobe: 8 mm Left centrum semiovale: 2.5 mm 14

…showed progression of the hemorrhages, as well as several new smaller hemorrhages and evidence of uncal herniation. The goals of care were shifted to comfort measures, and the patient… Progression of existing hemorrhages with several new smaller intraparenchymal hemorrhages with diffuse intraventricular hemorrhage and interval effacement of the basilar cisterns and 4 th ventricle consistent with the development of downward uncal herniation. 15

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Mr. P is a 76 year old male with cardiomyopathy and congestive heart failure who has been hospitalized frequently to treat CHF symptoms. He has difficulty maintaining diet restrictions and managing his polypharmacy.
Mr. P is a 76 year old male with cardiomyopathy and congestive heart failure who has been hospitalized frequently to treat CHF symptoms. He has difficulty maintaining diet restrictions and managing his polypharmacy.
Mr. P is a 76 year old male with cardiomyopathy and congestive heart failure who has been hospitalized frequently to treat CHF symptoms. He has difficulty maintaining diet restrictions and managing his polypharmacy.
Mr. P is a 76 year old male with cardiomyopathy and congestive heart failure who has been hospitalized frequently to treat CHF symptoms. He has difficulty maintaining diet restrictions and managing his polypharmacy.