MedBugs: SAQ #301

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Case: Lateral medullary (Wallenberg) syndrome

A 69-year-old man has been sent into the Emergency Department by his GP after an outpatient CT scan which shows an ischaemic stroke due to a right-sided posterior inferior cerebellar artery occlusion leading to a lateral medullary syndrome.

1. List three stroke mimics which may be seen in the ED. 3 marks

2. List three features of Horner’s syndrome on clinical examination. 3 marks

3. List three possible causes of a Horner’s syndrome other than lateral medullary syndrome. 3 marks

4. List three other features, excluding those of Horner’s syndrome, you expect to find on clinical examination in this patient. 3 marks

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Case: Lateral medullary (Wallenberg) syndrome

1. List three stroke mimics which may be seen in the ED. 3 marks

2. List three features of Horner’s syndrome on clinical examination. 3 marks

3. List three possible causes of a Horner’s syndrome other than lateral medullary syndrome. 3 marks

4. List three other features, excluding those of Horner’s syndrome, you expect to find on clinical examination in this patient. 3 marks

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