June 2019

A 73 Year Old Man With Unresponsiveness

History:
A 73 year old man with history of hypertension was brought to the emergency department after he was found down in his apartment.

Exam:
Lethargic, easy to arouse, follows simple commands, left sided neglect
Right gaze deviation, left homonymous hemianopia and left facial droop
Strength 5/5 on right and withdraws on left to painful stimuli
Sensations decreased to noxious stimuli on left

Baseline

Baseline

Baseline

Questions

 
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