40 yo man, sudden onset of excruciating head and neck pain

Discussion in 'USMLE Step 2 CK' started by Shaily., Sep 10, 2008.

  1. Shaily.

    Shaily. Guest

    40 yo man, sudden onset of excruciating head and neck pain while carrying books from the basement to the attic. His PE reveals normal except photophobia and eye pain with lateral eye movements. His neck is markedlt stiff and can not flexed passively. He has diffuse heperreflexia in all extremities with normal strength and sensation. Plantar reflex are flexor bilaterally. Which of the following is most likely diagnosis?

    A. cervical osteoarthritis

    B. Meningitis

    C. Rutured cervical disc

    D. Subarachnoid hemorrhage

    E. Syringomyelia

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