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q - usmleicandoit
#1
a previously healthy 45 y/o woman has had fever and progressive confusion over the past 2 days. She is now unable to perform activities of daily living. her temp is 38c(100.4f). she is oriented only to person.there is no rash and the neck is supple. a c/t of head shows normal findings. csf fluid analysis shows

leukocyte ocunt= 20/mm3
glucose=45 mg/dl
protein= 110 mg/dl
erythrocyte count= 1000/mm3

which of the following is the most likely diagnosis?

a) bacterial meningitis
b) acute alcohol intoxication
c)brain stem infarction
d) cerebral infarction
e) cryptococcal meningitis
f) enterovirus infection
g) hepatic encephalopathy
h) herpes simplex encephalitis
i) huntingtons disease
j) hypoglycemia
k) lymes disease
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#2
herpes simplex encephalitis... eating up the temporal lobe leading to bloody CSF
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#3
agree h
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