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How to use ACES forPACES
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Extracts
Appendix
Guidelines for MRCP PACES
Common Cases in MRCP PACES
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BOF 5
A 40-year-old female had neck manipulation by a
chiropractor for treatment of migraine. She presents shortly after with
occipital headache, pain in the neck, pain and numbness in the right side of her
face, hoarse voice, numbness of the right limbs and right side of her trunk,
vertigo and difficulty in maintaining balance.
On examination, a right-sided Horner's syndrome was noted. There was nystagmus
(fast phase to the right), sensorineural hearing loss in the right ear and
paresis of the soft palate on the right hand side. There was reduced tone and
power in the upper and lower limbs on the right. Deep tendon reflexes were brisk
on the right side and plantar response was extensor. Sensory examination
revealed a crossed hemianaesthesia with involvement of the face on the right
side.
The likely lesion is dissection of the:
a)
Vertebral artery
b)
Carotid artery
c)
Basilar artery
d)
Anterior spinal artery
e)
Posterior spinal artery
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Search onother websites and from wholesalers using the ISBN number:
1905006047
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