RT Book, Section A1 Miranda, Jeirym A1 Alavi, Fareeha S. A1 Saad, Muhammad A2 Saad, Muhammad A2 Bhandari, Manoj A2 Vittorio, Timothy J. SR Print(0) ID 1166697303 T1 10 Real Cases on Transient Ischemic Attack and Stroke: Diagnosis, Management, and Follow-Up T2 Patient Management in the Telemetry/Cardiac Step-Down Unit: A Case-Based Approach YR 2020 FD 2020 PB McGraw-Hill Education PP New York, NY SN 9781260456998 LK accesscardiology.mhmedical.com/content.aspx?aid=1166697303 RD 2024/03/28 AB A 59-year-old Hispanic man presented with right upper and lower extremity weakness, associated with facial drop and slurred speech starting 2 hours before the presentation. He denied visual disturbance, headache, chest pain, palpitations, dyspnea, dysphagia, fever, dizziness, loss of consciousness, bowel or urinary incontinence, or trauma. His medical history was significant for uncontrolled type 2 diabetes mellitus, hypertension, hyperlipidemia, and benign prostatic hypertrophy. Social history included cigarette smoking (1 pack per day for 20 years) and alcohol intake of 3 to 4 beers daily. Family history was not significant, and he did not remember his medications. In the emergency department, his vital signs were stable. His physical examination was remarkable for right-sided facial droop, dysarthria, and right-sided hemiplegia. The rest of the examination findings were insignificant. His National Institutes of Health Stroke Scale (NIHSS) score was calculated as 7. Initial CT angiogram of head and neck reported no acute intracranial findings. The neurology team was consulted, and intravenous recombinant tissue plasminogen activator (t-PA) was administered along with high-intensity statin therapy. The patient was admitted to the intensive care unit where his hemodynamics were monitored for 24 hours and later transferred to the telemetry unit. MRI of the head revealed an acute 1.7-cm infarct of the left periventricular white matter and posterior left basal ganglia. How would you manage this case?