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NBME 4 Block 3 Q25 - vitf
#1
the ct scan..
answer given is subdural hematoma..
is it correct or should it be epidural??
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#2
mansu bhai ( ultradocmansu) kaha ho?? mada karo..
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#3
99 hope can u help me here..
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#4

It is E.
Venous bleeding between the dura and arachnoid membranes
Most often the result of blunt trauma
Examples-car accident, baseball bat
Due to tearing of bridging veins between brain and dural sinuses
Slowly enlarging blood clot covers the convexity of the brain. (That is the key for me the slowly enlarging )
Fluctuating levels of consciousness
Herniation and death may occur.

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#5

epidural
Arterial bleed creates a blood-filled space between the bone and dura
Caused by a fracture of the temporoparietal bone
Severance of the middle meningeal artery
Vessel lies between the dura and inner table of bone.
Intracranial pressure increases, leading to herniation and death.
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#6
thankx.. what confused me was the actula pic.. the clot seemed like a convexity on the right , so i choose epidural..
such a waste to get a q like this wrong..
thanx 99 , im postingmore q, plz help me
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#7

I will be reviewing 4 and 6 to day .................I will be here for hours .........let get moving
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