XR Vision: Can’t Feel My Face

It’s Saturday, the start of the weekend, and you go see your first patient, a 40 year-old woman whose chief complaint is “I can’t feel my face.” On further questioning, she tells you that the symptom started that morning when she awoke, and it’s never happened before. Her only history is that she had “some breast surgery” and states, “All of my records should be in the computer.” Vital signs are: BP 100/54 HR 112 RR 24 SpO2 93% on RA. Exam is notable for bilateral mastectomy scars and decreased sensation on left side of face. You decide to get a head CT and see:

 

CT_Head

 

1) What your diagnosis and management?

2) If this patient presented with a submassive PE, what would be your management?

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sliang

EM/IM Resident at Kings County/SUNY Downstate

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