58y male with AIS (Left front parietal insular cortex)
SOKKAM CHIEF COMPLAINTS: PATIENT WAS BROUGHT WITH COMPLAINTS OF FEVER SINCE 3 DAYS AND WEAKNESS OF RIGHT UPPER LIMB AND LOWER LIMB SINCE 31/08/23 AFTERNOON 3PM. HOPI: PATIENT WAS APPARENTLY ASYMPTOMATIC 3 DAYS AGO.HE THEN DEVELOPED FEVER OF HIGH GRADE WITH CHILLS AND RIGOR ,RELIEVED WITH MEDICATION.NO DIURNAL OR SEASONAL VARIATION.HE THEN DEVELOPED WEAKNESS AND UNABLE TO MOVE RIGHT UPPER LIMB AND LOWER LIMB SINCE 6 HOURS SUDDEN ONSET,WHILE TAKING BATH,N/H/O FALL,H/O ?LOSS OF CONSCIOUSNESS FOR 5 MINUTES N/H/O INVOLUNTARY MOVEMENTS IN BILATERAL UPPER AND LOWER LIMB,UPROLLING OF EYEBALL,TONGUE BITE N/H/O BLURRING OF VISION DEVIATION OF ANGLE OF MOUTH TO HIS LEFT SIDE SLURRING OF SPEECH PRESENT LAST BINGE OF ALCOHOL 2 DAYS AGO PAST HISTORY: N/H/O COUGH,BURNING MICTURITION,SOB,PALPITATIONS,PEDAL EDEMA N/K/C/O HTN/DM/CAD N/H/O VOMITINGS,LOOSE STOOLS,PAIN ABDOMEN PERSONAL HISTORY: DIET: MIXED SLEEP: ADEQUATE BOWEL AND BLADDER MOVEMENTS: NORMAL ALCOHOL: REGULAR DRINKER SINCE 25 YEARS AROUND