47 YO/ FEMALE NKMI P/W SUDDEN ONSET RIGHT SIDED BODY WEAKNESS SINCE MORINING -(+)SLURRING OF SPEECH -(+)FACIAL

SYMETRY -FIRST EPISODE O/E ALERT, CONSCIOUS GCS E4V5M6 SLURRED SPEECH MINIMAL LOSS OF NASOLABIAL FOLD BP 175/102 PR 72 REFLO 7.9 RR 20 T 37 PUPILS REACTIVE GAG REFLEX PRESENT LUNGS CLEAR CVS S1S2 P/A SNT CNS POWER TONUS R UL LL 4/5 5/5 NORMAL L UL LL 5/5 5/5 NORMAL

UPON DISCHARGE, -PATIENT IS WELL -NO ACITVE COMPLAINT -ABLE TO AMBULATE BY HERSELF -ABLE TO TOLERATE ORALLY O/E ALERT, CONSCIOUS BP 140/62 RR 20 HR 82 REFLO 5.7 T 37 PUPILS REACTIVE GAG REFLEX PRESENT LUNGS CLEAR CVS S1S2 CNS POWER TONUS R UL LL 4/5 5/5 NORMAL L UL LL 5/5 5/5 NORMAL

-REFER PHYSIO AS OUTPATIENT -MEMO TO KK TO MONITOR BP AND CONTINUE MEDICATION MEDICATIONS GIVEN UPON DISCHARGE: -T. LOVASTATIN 20MG ON NCCT BRAIN (1/10/13) -LEFT BASAL GANGLIA. NO HYDROCEPHALUS. CTA BRAIN (4/10/13 -NO CTA EVIDENCE OF ANEURYSM -THE REST OF THE FINDINGS ARE UNCHANGED. HB 13.2 TWDC 8.8 PLT 102 T. PROTEIN 73 ALBUMIN 33 GLOBULIN 40 T. BILIRUBIN 14 ALP 87 AST 22 CA 1.85 MG 0.96 PHOSPHATES 0.86 T. CHOLETEROL 6.7 TRIGLYCERIDE 1.54 HDL CHOL 1.36 LDL CHOL 4.64 UREA 61 SODIUM 134 POTASSIUM 3.3 CREATININE 107 FBS 4.9 PT 12.8 INR 0.98 APTT 36.1 T 37 ECG SINUS RYTHM, NO ISCHEMIC CHANGES

HYPERTENSIVE HEMORRHAGIC STROKE