Case Study #7   1  2  3  4  5  6  7  8  9  10  11  12  13  Early Clinical Course admitted to a local hospital when he developed expressive aphasia CT scan showed a right temporal lobe mass with subfalcine and uncal herniation - lumbar puncture was NOT done empirically started on acyclovir, ceftriaxone, flagyl, phenytoin, and decadron on the following day, MRI showed a large T2 hyperintense lesion in the right temporal lobe which was interpreted as tumor (glioma) and less likely as an infectious or ischemic process transferred to Yale-New Haven Hospital for surgical evaluation only phenytoin and decadron were continued after admission No Significant Past Medical History Social History married with a child no HIV risk behaviors no tobacco or drug abuse occasional ethanol Breakpoint #2 Is there any additional history you would like to know about?