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Review Question - QID 214698

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QID 214698 (Type "214698" in App Search)
A 39-year-old man presents to the emergency department with a severe left-sided headache. A few days ago he went to a masseuse for "neck tightness." He describes the headache as sharp and affecting the left orbital and temporal region. The headache lasts approximately 45 minutes and is associated with "drooping" of the left eyelid and visual blurriness. He denies any weakness or sensory changes in the face, arms, or legs, but feels agitated and restless. He had a similar presentation approximately 3 months prior and was treated in the emergency department but never followed up with a provider in the outpatient setting. He has a past medical history of hypertension, for which he takes lisinopril, and polymyalgia rheumatica, for which he takes daily nonsteroidal anti-inflammatory drugs. Neurological examination is notable for conjunctival injection, ptosis, and miosis of the left eye. His temperature is 98.6°F (37.0°C), blood pressure is 140/90 mmHg, pulse is 85/min, and respirations are 17/min. An MRI of the brain and MR angiography of the head and neck are shown in Figures A and B, respectively. Which of the following is most likely the diagnosis?
  • A
  • B
  • A
  • B
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