CVA

read complete h/o then answer A 32 year old patient came with chief complaints of right sided weakness of ul an ll since last 4 days and difficulty in articulation since last 4 days deviation of face to left side patient was aa 4 days back when he developed weakness of rt ul and LL, which was sudden in onset at 9am in morning just half an hour after he came out of bathroom difficulty in articulation but he is able to understand and is able to communicate in broken words while laughing or speaking his moth is deviated to left and there is spilling of saliva and feeds, no h/o chest pain, palpitations, night sweats, pnd, breathlessness, RHD or any valvular heart disease in past, no h/o altered smell, abnormal eye movements, no change in facial sensations, no hearing difficulty, no neck fall, no swallowing difficulty past h/o known Hypertensive on t/t since 2 months taking steroids for migrating joint pain renal biopsy at young age of 20 hepres zooster on left abdominal wall 4 months back not diabetic general examination P 84/min normal character, normo volumic, with no radio radial or radio femoral dealy other pulsations felt BP 140/80 in right arm supine position JVP 9cm RR18/min temp afebrile rest normal systemic cn 7 involved umn type on right side With absece of nasolabial fold rest Normal tone increased in right ul and ll power 0/5 both rt ul and ll reflexes brisk biceps, triceps, supinator knee and ankle plantar extensor on rt what is your complete diagnosis? please give reason? how will you treat?

74yrs/M PMHx of Uncontrolled HTN presented to ED with Sudden impairment of mental status,left sided weakness and dysarthria.His BP was 200/100 on presentation,HR -110/mt.Neurological examination revealed left facial drop,left sided hemiparesis.DIAGNOSIS AND SUGGEST MANAGEMENT PLAN?

this gentleman presented with sudden onset of slurring if speech. associated was facial weakness. no limb weakness. DD and treatment?

Here is 75 year old female,has developed right sided,n numbness,weakness and tingling sensation,loss of movements in both right hand and and right leg since 10days,difficulty in speech,uncontrol bowel and bladder,after the above symptoms she has developed a swelling in lower abdomen,as shown in photo which is non tender,and firm in consistentency.Her vitals are not normal,Bp is 170/100mmHg.Plz kindly help in dx and treatment aspect.

62 male no comorb previous,came w h/o rt side ul weakness n ll weakness,deviation towards rt, slurred speech... o/e bp 200/100,p 80,rr 18.cns-concious,alert (power rt u.l 0/5,rt l.l 2/5.left 5/5 ul n ll),rs clear, cvs s1s2.patient developed fever spike of 99f, cbc-hb 14,wbc 22000,plt 300.rft,lft-nad.ct brain was done attached. rx n further plan of mx plz? thank u..