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16th August 2024
A 27-year-old male is seen in the Emergency Department having suffered seizures in the street
A 27-year-old male is seen in the Emergency Department having suffered seizures in the street. No history is available, and he remains obtunded when seen.
Observations reveal a heart rate of 119, a blood pressure of 100/78, a respiratory rate of 27, SpO2 of 94% on air, temperature of 39.2℃.
On examination, GCS is E1V2M5. You note injection sites in both antecubital fossae. There is a harsh systolic murmur, the loudest in the aortic area.
Investigations demonstrate:
| Haemoglobin | 117 | (130-180) |
| Platelets | 109 | (140-400) |
| White cell count | 19.7 | (3.6-11) |
| Neutrophils | 14.5 | (1.8-7.5) |
| Creatinine | 103 | (59-104) |
| C-reactive protein | 254 | (0-5) |
Post-contrast CT brain imaging demonstrates multiple contrast-enhancing lesions of various sizes in the middle cerebral artery territories bilaterally.
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