Warfarin in Medicine / Internal Medicine — 72yo Man | Neurology | SMLE Q#18059

SMLE Question #18059

Medicine / Internal Medicine Neurology

Objective: OBJ-ICH-REVERSAL

Last updated: February 2026
A 72-year-old man is brought to the emergency department after a sudden severe headache and vomiting followed by progressive confusion. He has atrial fibrillation treated with warfarin. On examination, he is somnolent but arousable. Non-contrast CT head shows a large right basal ganglia intracerebral hemorrhage with surrounding edema. What is the most appropriate immediate treatment to reverse his anticoagulation?

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