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Answer :
Final answer:
A patient with persistent headache, neck pain, and elevated blood pressure likely requires further neurological assessment after a non-remarkable CT scan, with symptoms suggesting a sensory system issue. Management may include aspirin therapy and additional advanced imaging or diagnostics for a thorough evaluation.
Explanation:
The patient presents with intense retro-orbital headache, neck pain, and high blood pressure, with symptoms persisting for hours. Following a non-remarkable non-contrast CT scan, the clinical focus shifts toward a neurological examination. This includes assessing motor function by testing muscular strength against resistance, evaluating sensation with touch identification, cranial nerve examination by observing facial symmetry and visual tracking, and a superficial screening for cognitive or language deficits. Given the complaints of paresthesia in the left arm and leg, and the difficulties with sensation reported by the patient, there is a likelihood of a sensory system problem between the spinal cord and brain. This could indicate a potential neurological disorder.
Based on the clinical history provided, further investigation appears warranted. Management might include aspirin therapy to reduce the risk of thrombosis while additional diagnostics, possibly more advanced imaging such as an MRI, or blood work are pursued. It is also important to consider a differential diagnosis that may include conditions such as stroke, transient ischemic attack, or even systemic diseases that could present with neurological symptoms.
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