Liverpool Hospital

  • 55-year-old female, day 3 ICU, following SAH secondary to aneurysmal bleed. Clinical findings included an intubated, awake, responsive patient with a dense left hemiplegia and the presence of an EVD, arterial puncture site at the groin and a nimodipine infusion. Candidates were told that she had presented post collapse 3 days earlier and were asked to examine her neurological system. Discussion points included interpretation of the CT brain and ECG, the differential diagnosis for this patient and the management of SAH including complications and prognosis.