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*  1
 #140634  
  angioplasty - 11/22/06 16:30
 
  1. A 76-year-old woman is admitted to the hospital after a fall at her home earlier in the day. She has been followed in your practice for several years and is in generally good health. She drinks socially, does not smoke and has been active in senior citizen groups. She takes ibuprofen occasionally for pain, but no other medications. On admission she is alert and oriented, and complains only of pain in her left leg. Her temperature is 36.1°C (97.0°F), pulse is 72/min and regular, and blood pressure is 140/85 mm Hg. X-ray films taken upon arrival show a fracture of the left femoral shaft. Surgical repair of the fracture is done the next morning. The patient receives 2 U of packed erythrocytes during the procedure. Postoperative medications include morphine, prophylactic cephalothin and low-dose warfarin. On the evening of the operation, the patient becomes combative, begins to hallucinate and has a brief, generalized seizure. A fine petechial rash is noted on her chest. Which of the following is the most likely cause of her seizure?

A

) Antibiotic allergy

B

) Blood transfusion reaction

C

) Fat emboli

D

) Hemorrhagic stroke

E

) Unrecognized cerebral concussion
 
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* Re: 1
#568281
  knock_knock - 11/22/06 16:40
 
  C)  
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* Re: 1
#568296
  pedres - 11/22/06 16:44
 
  c
 
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* Re: 1
#568325
  alexis - 11/22/06 16:55
 
  c.  
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* Re: 1
#568371
  pk007 - 11/22/06 17:18
 
  c.  
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* Re: 1
#568570
  benign1998 - 11/22/06 21:01
 
  c
 
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* Re: 1
#569217
  tea - 11/23/06 13:04
 
  c
 
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