This case starts with a pretty common presentation to the emergency department: AMS. As with most cases of AMS in the ED, the patient had a CT head done during his ED course. However, our patient also had an MRI done before he left the ED. While MRI’s are typically not our bread and butter imaging technique, they can sometimes be essential to making the diagnosis.
A few more details to this case… The patient was a 54 yo man with no past medical history. In addition to AMS the patient presented with confusion and unresponsiveness for 2 days as well as a fever.
As usual, please post in the comments to request more details about the history, exam, labs, consults etc… The first post with the most accurate diagnosis will receive a prize!
The views expressed on this blog are the author's own and do not reflect the views of their employer. Please read our full disclaimer here. Any references to clinical cases refer to patients treated at a virtual hospital, Janus General Hospital.
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nchristopher
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6 comments for “X-ray Vision: The Case of AMS”