Even More Weakness

Nervous System & Special Senses


Step 1: View Clinicals

{"ops":[{"insert":"A 64-year-old man presents with acute right-sided weakness and difficulty in speaking for around 30 minutes. There is no history of fever, headache, or trauma. There is no bladder or bowel incontinence.\n\nHe was diagnosed with hypertension 10 years ago, which is well controlled on Losartan alone. His medical and drug history is otherwise unremarkable. He does not smoke but drinks socially. He lives alone and is fully independent with normal mobility and activities of daily living. He is right-handed. \n\nA full panel of bloodwork is sent for, with results pending. Capillary glucose levels are normal.\n\n\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-159_en.png"}},{"insert":"\n\n"}]}

Step 2: Order Relevant Investigations

1. NIH stroke scale (NIHSS)
2. Noncontrast CT brain, perfusion CT, and CT angiography

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