70 MALE , CHRONIC ALCOHOLIC WITH RECUURENT CVA
LAKYA Case History and Clinical Findings C/O SLURRING OF SPEECH SINCE 10 DAYS DIMINISION OF VISION VISION SINCE 10 DAYS HOPI: PT WAS APPARENTLY ASYMPTOMATIC 10 DAYS BACK THEN HE DEVELOPED SUDDEN ONSET OF SLURRING OF SPEECH, NO H/O DEVIATION OF MOUTH H/O DIMINISION OF VISION , SUDDEN IN ONSET NO H/O WEAKNESS OF LIMBS, INVOLUNTARY MOVEMENTS H/O 1 EPISODE OF GIDDINESS 10 DAYS BACK AFTER WHICH THESE SYMPTOMS STARTED. NO H/O LOC, BITING OF TONGUE, INVOLUNTARY PASSAGE OF STOOLS, URINE NO H/O NAUSEA, VOMITING, HEADACHE. PAST HISTORY: K/C/O CVA 6 YEARS BACK, USED MEDICATION FOR 2 MONTHS(ECOSPRIN AV) N/K/C/O HTN DM CAD SEIZURES THYROID DISORDERS. SURGERIES- NEPHROLITHIASIS 20 YEARS BACK ON EXAMINATION: PATIENT IS CONSCIOUS COHERENT AND COOPERATIVE CLUBBING + NO PALLOR, CYANOSIS, ICTERUS, LYMPHADENOPATHY, PEDAL EDEMA TEMP 100.8F PR 90BPM RR 18CPM SPO2 96% BP 110/70MM HG CNS- GCS:E4V4M6 HMF -COULDNT BE ELICITED SPEECH - PUPILS: ANISOCORIA RT LT POWER : UL 5/5 5/5 LL 5/5 5/5 TONE: UL N N LL: N N