Case Study for the weekendCreated by:
You are call to a medical ward to review a elderly man (unknown to you), with new onset of confusion, slurred speech, possible left facial droop, and left upper and limb weakness around 10pm, with patient was last seen well by nurse on 8pm. Patient was admitted initally around 10 days ago with pneumonia, possibly secondary to aspiration. Patient did has modified barium swallow test done earlier morning today by speech and language therapist, failed the test, and was kept nil per mouth since. Patient has background history of atrial fibrillation (on NOAC), hypertension, type 2 diabetes (on insulin), ischaemic heart disease. Vitals (respiraory rate, oxygen saturation, blood pressure, pulse, and temperature) are stable. Your examination showed the same finding as above. What is the most important bedside test to be done immediately ?? What is the potential diagnosis and differential ? What is the following management plan?