Q:

A 74 year old man has been admitted unconscious with no history. He has a GCS of 6 and a dilated left puil which becomes insensitive to light. What is the single most likely diagnosis?

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A 74 year old man has been admitted unconscious with no history. He has a GCS of 6 and a dilated left puil which becomes insensitive to light. What is the single most likely diagnosis?


  1. Extradural hematoma
  2. Meningitis
  3. Opioid OD
  4. Pontine hemorrhage
  5. SAH

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The key is E. SAH. [Extradural hematoma is very rare in elderly and there occurs lucid interval;

Fteatures are not consistent with meningitis. Opioid and pontine hemorrhage causes myosis. So likely dx

here is SAH].

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