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 Best of Five 3.94

 

   

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BOF: 3.94

A 35year old male presents with sudden onset of loss of vision in his right visual field whilst reading. He has no significant medical history and he neither smokes nor uses alcohol or illicit drugs. Physical examination reveals a right homonymous hemianopia but no other abnormalities. Blood pressure is normal and cardiovascular examination does not reveal any abnormality. Magnetic resonance imaging reveals acute left occipital infarction and normal head and neck vessels.

Routine haematology and biochemistry are normal, there is no increase in inflammatory markers and biochemistry including lipid profiles are within the normal range.

In this patient which of the following would you arrange next to determine the underlying cause of the patientís condition?

a)      Contrast (bubble) echocardiography

b)      Lumbar puncture

c)      Blood cultures

d)      Cardiac catheterisation

e)      Carotid angiography

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