Case presentation A 48-year-old male was brought to a hospital's emergency department (ED) with slurred speech and left-sided facial droop. In addition, he was dizzy and unsteady with weak legs. The patient stated that these symptoms developed after the coffee he was drinking on his way to his office suddenly started to come out of his nose. At the hospital, the emergency physician (EP) examined the patient and performed auscultation of the carotid arteries for bruits. However, he did not opt for a carotid artery ultrasound and instead diagnosed the patient with Bell's palsy.
The patient was then discharged from the hospital and was asked to consult with a neurologist for a follow-up. However, after eleven days of the initial ED visit, the patient experienced an ischemic stroke. This led to physical and cognitive impairment of the patient. Subsequently, a carotid ultrasound was…
