Case scenario

Your a Medical Officer

A female patient of 82yrs old presents to the casualty

A known case of cardiac disease, diabetes mellitus, hypertension, ( compliant to medications as per relatives )

She has a chief complaint of

Cannot lift limbs

Spontaneous eye opening

Dysphasia

Able to speak some words and sentences/ follows commands

History of fall 3/52

Pupil right side 3.5mm

Left side 4mm sluggish

BP 180/77

Gr 15.6

How to manage this patient in casualty stepwise.

Exact dosage of medications and differential diagnosis