Q:

A 34 year old male presents with headache and vomiting. Examination: temperature 38.5C, neck stiffness, discharge from left ear and right sided hyper-reflexia with an extensor plantar response. What is the most likely diagnosis?

waelhammad
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2022-10-31
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A 34 year old male presents with headache and vomiting. Examination: temperature 38.5C, neck stiffness, discharge from left ear and right sided hyper-reflexia with an extensor plantar response. What is the most likely diagnosis?

  1. Cerebral tumor
  2. Meningitis
  3. Cerebellar tumor
  4. Cerebral abscess
  5. Normal pressure hydrocephalus
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waelhammad
2022-10-31
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The key is D. Cerebral abscess. [Otitis media can lead to cerebral abscess].

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