試題詳解

78 46 歲女性至急診主述頭痛一週意識清楚。Vital signs: TPR: 37.6/110/15，BP: 159/95mmHg，脊髓液檢查如下：Lumbar Puncture: Initial pressure 25 cmH₂O，end pressure 21 cmH₂O，CSF: clear/colorless，WBC 108/mm³ (N/L/M: 8/61/31)，RBC 18/ mm3，no bacteria seen，sugar 101 mg/dl， Total Protein 107 mg/dl，Lactate 39.4 mg/dl，此病人最不可能之診斷為何？
(A)Bacterial meningitis
(B)viral meningitis
(C)Subarachnoid hemorrhage
(D)Encephalitis
(E)TB meningitis