A 17-year-old boy falls off a skateboard and hit his head on a rock wall and is knocked unconscious for ten minutes. Upon awakening he is neurologically intact but does not remember the accident. Several hours later, he develops a headache, vomits, and develops right-sided weakness. Mother brings him to ER. On exam BP 180/110 HR 50, RR 28 Mental status- Lethargic but responsive. Motor - Right hemiparesis. Reflexes bilateral plantar extensor responses (upgoing toes). Cranial nerves- left pupil is amm and poorty reactive to light right pupil is 3 mm. What medical test does he need most urgently? O CBC, CMP O Brain MRI O spinal tap to rule out subarachnoid hemorrhage O Brain CT

Essentials of Pharmacology for Health Professions
7th Edition
ISBN:9781305441620
Author:WOODROW
Publisher:WOODROW
ChapterCRE2: Comprehensive Review Exam For Part 2
Section: Chapter Questions
Problem 34CEP2
icon
Related questions
icon
Concept explainers
Question

Please ASAP. Thanku.

A 17-year-old boy falls off a skateboard and hit his head on a rock wall and is knocked unconscious for ten minutes. Upon awakening he is neurologically intact but does not remember
the accident. Several hours later, he develops a headache, vomits, and develops right-sided weakness. Mother brings him to ER. On exam BP 180/110 HR 50, RR 28 Mental status-
Lethargic but responsive. Motor - Right hemiparesis. Reflexes bilateral plantar extensor responses (upgoing toes). Cranial nerves - left pupil is 8mm and poorly reactive to light; right
pupil is 3 mm. What medical test does he need most urgently?
O CBC, CMP
O Brain MRI
O spinal tap to rule out subarachnoid hemorrhage
O Brain CT
changes to this answer
Transcribed Image Text:A 17-year-old boy falls off a skateboard and hit his head on a rock wall and is knocked unconscious for ten minutes. Upon awakening he is neurologically intact but does not remember the accident. Several hours later, he develops a headache, vomits, and develops right-sided weakness. Mother brings him to ER. On exam BP 180/110 HR 50, RR 28 Mental status- Lethargic but responsive. Motor - Right hemiparesis. Reflexes bilateral plantar extensor responses (upgoing toes). Cranial nerves - left pupil is 8mm and poorly reactive to light; right pupil is 3 mm. What medical test does he need most urgently? O CBC, CMP O Brain MRI O spinal tap to rule out subarachnoid hemorrhage O Brain CT changes to this answer
Expert Solution
trending now

Trending now

This is a popular solution!

steps

Step by step

Solved in 2 steps

Blurred answer
Knowledge Booster
Organ system
Learn more about
Need a deep-dive on the concept behind this application? Look no further. Learn more about this topic, nursing and related others by exploring similar questions and additional content below.
Similar questions
  • SEE MORE QUESTIONS
Recommended textbooks for you
Essentials of Pharmacology for Health Professions
Essentials of Pharmacology for Health Professions
Nursing
ISBN:
9781305441620
Author:
WOODROW
Publisher:
Cengage