ACUTE ISCHEMIC STROKE.(INFARCT IN RIGHT CEREBRAL HEMISPHERE-FRONTAL AND PARIETAL LOBE
Case History and Clinical Findings CHIEF COMPLAINTS: PATIENT CAME WITH CHIEF COMPLAINTS OF LEFT LOWER LIMB WEAKNESS SINCE YESTERDAY MORNING(10/08/23) C/O LEFT UPPER LIMB WEAKNESS SINCE 25 DAYS C/O DEVIATION OF MOUTH TO RIGHT SIDE SINCE YESTERDAY MORNING(10/08/23) HISTORY OF PRESENTING ILLNESS: PATIENT WAS APPARENTLY ASYMPTOMATIC TILL 25 DAYS AGO THEN HE DEVELOPED LEFT UPPER LIMB WEAKNESS WHICH WAS SUDDEN IN ONSET GRADUALLY PROGRESSIVE(FROM DISTAL TO PROXIMAL) FOR WHICH HE USED HERBAL MEDICATION AND HE HAD C/O WEAKNESS OF LEFT LOWER LIMB AND DEVIATION OF MOUTH TO RIGHT SIDE SINCE YESTERDAY MORNING NO C/O HEADACHE SEIZURES VOMITINGS,LOOSE STOOLS, PAIN ABDOMEN FEVER BLURRING OF VISION, DIPLOPIA. H/O LEFT UPPER LIME WEAKNESS 5 YEARS AGO FOR WHICH HE USED HERBAL MEDICATION. HO RTA 4 YRS AGO (RIGHT UPPER LIMB AND LEFT SHOULDER INJURY) H/O PULMONARY TB 3 YRS AGO(ON ATT FOR 6 MONTHS) NOT A K/C/O DM,HTN,CAD, EPILEPSY, ASTHMA. GENERAL EXAMINATION: THE PATIENT IS CONSCIOUS, COHERENT, COOP