bouncebacks: posterior circulation stroke

Posterior circulation strokes are less common and have a wide spectrum of symptoms and signs, so it’s not surprising they are easily missed. Here are a few misses/near misses, and their associated misdiaganoses   ‘GASTRO’ 60yoM with a history of DM/HTN presents with dizzy/vomiting all day, one diarrhea. No documented neuro exam, given fluids and…

bouncebacks: PE

If a patient presents with pleuritic chest pain, shortness of breath and a clear chest on auscultation and xray, we obviously think of pulmonary embolism. But PEs are missed 10-30% on their initial presentations, so we should be aware of the atypical presentations. Here are a few misses/near misses based on the misdiagnosis   ‘REACTIVE…

bounceback: vision loss

Two bounceback cases highlighted the importance of considering occipital stroke and examining for visual field defects CASE 1 47F HTN/lipid c/o decreased vision left eye O/E decreased visual field left eye, sent to ophtho Ophtho found homonymous hemianopsia, send back for CT: occipital infarct   CASE 2 61M HTN/smoke c/o decreased peripheral vision right eye…