Patient History: A 72-year-old man is admitted to the hospital because of acute onset of a right facial droop, right arm weakness, and some difficulty speaking. These symptoms started 6 hours ago while he was sitting at the breakfast table. He had no headache, no diminishment of consciousness, and no abnormal involuntary movements. Two weeks ago, he had a transient painless loss of vision in his left eye, which resolved spontaneously within a few hours.
Medical History: His medical history is significant for long-standing hypertension and a myocardial infarction (MI) 4 years previously, which was treated with percutaneous angioplasty. His medications include a daily aspirin, metoprolol, and simvastatin. Physical Examination: He is afebrile, heart rate 62 bpm, and blood pressure 135/87 mm Hg. The corner of his mouth droops, with slight flattening of the right nasolabial fold, but he is…
