Case study 08102016Created by:
A middle aged gentleman, with background of type 2 diabetes mellitus, hypertension, increased body mass index, smoking of 20 pack years, and hypercholesterolaemia, was admitted with sudden on-set of left side weakness involving his left upper limb and left lower limb, with left facial droop, and slurred speech, started around 1 hour ago. His wife did witnessed the event, and according to her, patient was helping her to clean the kitchen during that time, and suddenly experienced the symptoms of left sided weakness. On examination, the power of his left upper and lower limbs are both 2/5, left facial droop, and sensory inattention to the left side. His vitals - blood pressure - 165/89, pulse -92 irregular, temperature -apyrexia, respiratory rate-16, oxygen saturation on room air 98%. What is your diagnosis ?? what urgent investigation required and what will be your managment strategy ???