sharing on stroke plus heart failure in an elderly woman with poor consciousness

Stroke is an abrupt or acute onset of neurological deficiet which has a presice neurological localization based on history and neurological exam.

Case 18-1 at 5D ward
a 78y/o female, right-handed, had old infarction at the right PCA territory with proxima PCA occlusion based on the neuroimage finding of midbrain damage and the whole right PCA territory infarction.
D/D
Recurrent stroke in the left hemisphere: consider brain MRI or head CT + CT perfusion study
infection, aspiration: f/u CXR and infection profiles
new myocardial infarction ? check cardiac enzymes