75yrs old women presents with right sided weakness(UL > LL) and aphasia.H/o DM Not a candidate for tPA. O/e Pupils B/l 4mm NRTL GCS - E3V1M5 GCS - P = 9 Bp - 100/60mmhg PR - 45/mt Spo2 - 99% Serum triglycerides - 258 VLDL - 51,Carotid doppler shows B/l non obstructive plaques Diagnosis n Management??

BP 190/100 Tingling sensation in lt hand Decrease sleep Headache

50 years old male patient Having problem with his walking sense Sometimes he can’t walk staightline suddenly Often happens this Not k/c/o HTN DM ANY OTHER CO MORBIDITY sometimes visual disturbance sometime Hearing loss of one ear MRI as follows What should be line of treatment?????

71 year old male taken by his family because of episodic altered mental status, agitation, and hallucinations since 1 month. The patient reports having insomnia, nonthreatening visual hallucinations and rarely auditory hallucinations. His medical history includes stage 2 hypertension,, ischemic cardiomyopathy, coronary artery bypass surgery, and dyslipidemia. A CT scan of the brain is attached, What are possibel diagnosis and management plans for this.

70 years old gentleman known case of diabetic and hypertensive on along a and metformin(1000mg) and glimipride( 4mg)...has a hemiparesis attack .. mri brian showed non haemorrhagic acute infarct involving medulla oblongata on right side... and generalised cerebral atrophy with bilateral small vessel chronic ischaemic changes.. blood reports are attached....kindly tell how to proceed further and what treatment I should put ....