z******8
发帖数: 282 | 1 A 24-year-old man is brought to the physician by his wife because of a 2-day
history of progressive confusion. His temperature is 38.3°C (101 °F).
Physical examination shows no other
abnormalities. When he speaks, he enunciates clearly, and his phrasing is of
average length. However, he uses words and word-like utterances in a manner
that makes little sense. He
does not follow any commands. Which of the following is the most likely
diagnosis?
A) Cerebral toxoplasmosis
B) Herpes simplex encephalitis
C) HIV encephalopathy
D) Meningococcal meningitis
E) Subdural empyema
答案说是D，个人感觉B更贴近。版上牛人有没有什么解释？
多谢！ | b****k
发帖数: 409 | 2 B is better. D usally have headache, n/v, stiff neck, miningeal sign. For
those who starts with confusion, and aphasia, should consider virus. |
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