Author: Ravi Sandhyavandhanam / Editor: Yasmin Sultan / Codes: NeuC12, NeuP9, SLO1, SLO3Published: 13/04/2023

A 70-year-old patient is brought in with a history of vomiting and a fall. He explains that his symptoms started 2 hours ago suddenly and he has been vomiting persistently. He says his head is spinning and he is unable to walk straight.

He is usually fit and well. He lives with family and has been well recently.

The patient has a background of T2 Diabetes Mellitus, Hypertension and Transient ischaemic attack. He is not on Anticoagulants.  His vitals show BP of 210/96 and HR of 82, Sinus Rhythm on ECG. You suspect a posterior circulation Stroke.

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