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本日の問題はこちら https://twitter.com/NaikaiTakeo/status/1753730737713680735 AI要約 ・62歳女性が突然の激しい頭痛と吐き気を訴えて救急搬送された ・意識レベルはJCS1-1、血圧150/88、脈拍数92、呼吸数14、酸素飽和度100% ・右眼瞼下垂を認めるが片麻痺はない ・右瞳孔は6mmで左は3mm、右の光反射が消失 ・最も考えられるのはくも膜下出血 ・突然の強い頭痛はくも膜下出血を疑うべき ・眼瞼下垂や光反射の異常は動脈瘤の部位による ・髄膜炎は激しい頭痛になるが突発することはまれ ・腰椎穿刺で診断できることもある ・脳梗塞は頭痛を伴わないことが多い ・緊張型頭痛や片頭痛は急性発症しない
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