Stroke

A 71-year-old man noticed slurred speech 90 minutes ago while watching television and his wife drove him straight in. He speaks with a mild slur that is fully i…

Pre-internship · niche

A 48-year-old man has a large right middle cerebral artery infarction despite reperfusion treatment. Twenty-four hours later he becomes increasingly drowsy, dev…

Clinical rotations · middle twist

A 66-year-old man develops abrupt spinning vertigo and vomiting while gardening. Six hours later he remains unable to stand without support; examination shows h…

Clinical rotations · middle twist