Interpret the CT-Brain

Chief Complaint 80 year old male presented to ED in an unconscious state. His family found him on the floor. History He is on warfarin. Vitals BP:105/70mmhg, Pulse: 58 bpm, Resp rate: 15 bpm, Temp: 97.7 degree F Examination GCS 10 on arrival. Diagnosis What are interpretations of CT-Brain Treatment How should we proceed?

1 Like

LikeAnswersShare

Warfarin induced sub- arachnoid haemorrhage or it could be traumatic SAH . There is also right occipital SDH and a small SDH on the opposite side . Stop warfarin Start conservative treatment with decongestive therapy

Cerebral contusion causing left sub dural and sub arachnoid hemorrage. ? Rt parietooccipital hemnorhagic extension. Neurosurgeon's reference.

Traumatic sub dural and sub arachnoid hemorrhage.( may be due to warfarin ) MRI or CT of brain. Neurosurgeon opinion and presently symptomatic treatment.

Thanks Dr Kute Ankush
0

View 1 other reply

Left temporoparietal region SDH with subarachnoid hemorrhage Patient on oral anticoagulation Check PT, PTT and INR - look for deranged INR

? ICH .. ? SDH .. NEED'S.. NEUROSURGEN'S OPINION..

Tnx Dr Vipin Bihari Jain sir
0

View 1 other reply

SINCE THE PATIENT. IS. ON WARFARIN SO. POSSIBLY.. INDUCED BRAIN HEMORRHAGE

Left sdh and sah What was INR? Is there any h/o trivial trauma Get Neurosurgery consultant Correct INR,

left Tempero parietal SDH with SAH on warfarin so reserve FFP send pt inr withold warfarin neurosurg opinion repeat ct if any deterioration occurs

Alzheimer's disease

Diseases Related to Discussion