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December 10th, 2021Hi there!
You’re looking at an interactive case study from Prognosis: Your Diagnosis (one of four distinct learning formats available in Clinical Odyssey). Try it out, and have fun improving your clinical skills.
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A 63-year-old man complains of a severe right-sided headache since waking up two hours ago, in association with nausea, and two episodes of vomiting. The headache is worse upon straining.
He has experienced recurrent right-sided headaches and dizziness for the preceding two weeks. No other symptoms were present. There is no history of recent trauma.
His medical history is significant for essential hypertension for 8 years, which is uncomplicated, and well controlled on lisinopril alone. There are no known allergies. He has a 10 pack-year history of smoking cigarettes but stopped smoking around 20 years ago. He only drinks socially.
A complete blood count, serum electrolyte panel, and liver and renal profiles are all normal.