This *** patient presents with symptoms concerning for acute CVA versus TIA.***. Other items on the differential include dissection, AMI, hypoglycemia or other metabolic derangement such as hepatic/uremic encephalopathy, medication side effect, or post-ictal Todd’s paralysis. However, presentation most concerning for a CVA. EKG without evidence of STEMI or ischemia, fingerstick BS not hypoglycemic, and clinical picture does not suggest other stroke mimic. Plan to workup for acute CVA / TIA.

Plan: Code stroke protocol, MRI/MRA stroke protocol, stroke labs, Neurology stroke consult