10:10 in the AM. You respond to a 34 year-old-male c/o possible CVA. Upon arrival you find him seated in his apartment living room surrounded by two friends. He is alert and appears anxious. He tells you he was perfectly fine when he went to bed last night at around 11 PM. This is his appearance when asked to look at you and smile:
He complains of no other symptoms and his vital signs are within normal limits. No other abnormalities are detected on your physical exam and he has no past medical history. Your Cincinnati Stroke Screen is negative, except for the right-sided facial paralysis. Remember for the Cincinnati Screen having any 1 of the 3 positive is a 72% chance of ischemic stroke.
Is this a stroke? View the Conclusion.