A 60yr old male with CVA
60 year old male came with cheif complaints of both upper limb and lower limb weakness since 3days HOPI: Pt was apparently asymptomatic one and half year back , developed vomitings 3_4 episodes associated with giddiness and weakness ,then he was diagnosed with hypertension. After 6months he developed a wound with delayed healing then he was diagnosed with DM_2 5days back he suddenly developed left sided weakness after he had his lunch associated with deviation of mouth towards rt side and slurring of speech K/c/o of HTN since 11/2 year on atenolol 50mg OD k/c/o of DM since 1 year on metformin 500mg OD He is an occasional toddy intaker H/o smoking :1 chutta/day O/E Temperature: afebrile PR:55bpm RR: 14cpm BP: 140/90mm hg spo2_99 GRBS_ 171MG percent No signs of pallor, icterus, cyanosis, clubbing, koilonychia. CVS: S1S2 HEARD RS: BAE PRESENT, P/A:Soft ,non tender,Bowel sounds present. CNS: HMF: normal speech: slurred No signs of meningeal irritati...