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Todd Fraser :verified:

An 82 yo man is brought to hospital with headache and confusion

He is drowsy and appears in some distress. There are no focal neurological signs

He has a history of atrial fibrillation and hypertension, and is currently taking rivaroxaban

A non-contrast CT is performed. What does it show?

osler.app.link/rhAFZQdrNxb

@toddfraser well there is blood where there shouldn’t be. The distribution is interesting and one image is suggestive of a source. ( at least I think I’m seeing that) Given no focal signs he likely needs both an urgent neurosurgical opinion and further imaging. Btw thx for this. Mastodon is still catching up to where Med Twitter was….