Bonus Question: A 72-year-old male has a past medical histor…
Bonus Question: A 72-year-old male has a past medical history that is significant for severe and uncontrolled hypertension; he is brought into the emergency room by his family due to a 30-minute history of change of mental status. The patient had just climbed stairs when he first developed a headache that has become progressive; it is associated with nausea, non-bilious vomiting, and unilateral upper and lower extremity numbness. His physical exam reveals an alert patient who is not oriented to time, place, or person. He is afebrile, with a blood pressure of 185/108 mm Hg, and there is nuchal rigidity present. His neurological exam notes contralateral sensory loss, contralateral hemiparesis, gaze paresis, homonymous hemianopia, and miosis. A CT scan without contrast was performed, and it is shown in the image below. Your preceptor asks you to calculate the patient’s current mean arterial pressure (MAP). MAP = / 3