E
what is BAAR?
Searching for mycobacterium
Size: a a a
2017 May 22
DT
yes we have
DT
we have scientific research center for tb
DT
next case?
E
Very good
E
Next
DT
A 70-year-old man developed episodes of rhythmic shaking (approximately
3Hz) of the left arm lasting for up to 2 minutes and preceeded by a brief
period of light-headedness. Occasionally, the left arm shaking was accompanied
by an odd feeling but no shaking in the left leg. Attacks occurred a few
times a week and were almost always triggered by standing up. Consciousness
was never impaired. There was a history of hypertension and type II diabetes
and he was taking metformin and antihypertensive medication.
On examination there was no abnormality except that he was overweight
with an elevated blood pressure of 180/90mm Hg.
3Hz) of the left arm lasting for up to 2 minutes and preceeded by a brief
period of light-headedness. Occasionally, the left arm shaking was accompanied
by an odd feeling but no shaking in the left leg. Attacks occurred a few
times a week and were almost always triggered by standing up. Consciousness
was never impaired. There was a history of hypertension and type II diabetes
and he was taking metformin and antihypertensive medication.
On examination there was no abnormality except that he was overweight
with an elevated blood pressure of 180/90mm Hg.
E
We have standing blood pressure?
DT
no drop
E
Normal Eeg?
DT
focal slowing during attack
E
Neurological exam?
DT
no data
DT
except given
DT
CT normal
DT
carotid duplex
showed an occluded right internal carotid artery and 60% stenosis of the
left internal carotid artery. Reduced flow in the right middle cerebral
artery (18cm/sec vs. 55cm/sec for right and left respectively) was confirmed
on transcranial Doppler ultrasonography.
showed an occluded right internal carotid artery and 60% stenosis of the
left internal carotid artery. Reduced flow in the right middle cerebral
artery (18cm/sec vs. 55cm/sec for right and left respectively) was confirmed
on transcranial Doppler ultrasonography.
E
It's very uncommon
DT
this given state is very rare
E
Yes
DT
i even have nt read that in bradleys