<prompt> A 35-year-old nondiabetic, nonhypeensive individual to casualty with a sudden bursting headache and altered sensorium. What is the most likely diagnosis?MeningitisEncephalitisIntracerebral hemorrhageIntracranial tumor  <response>: Harrisons textbook of internal medicine 17th edition...Davidsons principles and practice of Medicine 23 rd edition. Hemorrhage usually presents as abrupt onset of focal neurological deficit and can be considered as a spectrum of symptoms from transient TIA to persistentstroke.. Deficit typically worsen steadily over 30 -90 minif symptoms progress over hours and days ,other diagnoses must be excludedit is associated with diminished level of consciousness ,signs of increased ICT-headache,vomiting ,prominent sensory deficit involving all modalities . 