ABSTRACT

Examination On examination, she has a Glasgow Coma Scale (GCS) score of 9 (E, 3; V, 2; M, 4). Her blood pressure is 168/100 mmHg, pulse 70 bpm regular. She is afebrile. Respiratory rate is 10 per minute and her saturations are 100 per cent on high-flow oxygen. Heart sounds are normal, auscultation of the lungs reveals a few crackles at the right base. Her abdomen is soft and non-tender. Neurological examination reveals increased leftsided limb tone and hyper-reflexia with a dense left hemiparesis and left-sided facial droop. There is evidence of left-sided neglect. Her left plantar reflex is up-going.