A 30-year-old woman is admitted with a right sided hemiparesis. She returned two days earlier from visiting her sister in Australia. She has been generally well apart from occasional migraine headaches. Only medication of note is the progesterone-only contraceptive pill. On examination her BP is elevated at 152/89 mmHg and she has a right sided hemiparesis. You note that her right leg is swollen. Her flat mate tells you that she complained that the leg was aching just after she returned home. Investigations; Hb 12.4 g/dl WCC 6.1 x 109/L PLT 210 x 109/L Na+ 140 mmol/l K+ 4.9 mmol/l Creatinine 209 μmol/l ESR 10 mm/hr Which of the following investigations would be most helpful in revealing the cause of her stroke? 1- Carotid duplex 2- Right leg venogram 3- CT head 4- Abdominal ultrasound scan 5- Echocardiography
Posted on: Sun, 09 Mar 2014 11:16:27 +0000
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