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Case 1 

Case 1
Chapter:
Case 1
Author(s):

Harutomo Hasegawa

, Matthew Crocker

, and Pawan Singh Minhas

DOI:
10.1093/med/9780199599837.003.0001
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date: 17 September 2019

A 78-year-old man was admitted to hospital with a 2 week history of progressive confusion and unsteadiness. His medical history included parkinsonism and a metallic mitral valve replacement. On examination his GCS was 14/15 (E4, V4, M6) (see ‘Glasgow Coma Scale and Score’, p. 196), and he had left-sided weakness. He was taking warfarin, and the INR was 3.8.

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