A 60 years old male, chronic alcoholic, chronic smoker, known hypertensive with irregular medication, admitted with complaints of breathing and left sided paralysis. O/e patient is conscious and irritable, pulse 180/min. Regularly regular, BP is 164/90 mm Hg in supine position RT. Arm, SPO 2 = 94% without O xygen support, left sided hemiplegia without facial involvement, B/L planter extensor, pupils normal in size and photo-reactivity. Plain CT head shows multiple small lacunar infarcts. X-ray chest PA view is suggestive of COPD. Hematological investigations are normal except mild anaemia.
BUN and creatinine are on higher side of the normal range. LFT was found normal. And it was found that ICTERUS absent, clubbing absent. Patient has recently diagnosed DM type 2 with HbA 1c is 6.8 FBS 143 mg/dl. Please suggest management guidelines in this patient. What can be the line of treatment?…
