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69-year-old male with a past medical history significant for HTN, HLD, MI (S/p stents 2016), and diabetes (on metformin) who presented to the ED for left-sided facial droop and upper/lower extremity weakness. Patient was in his usual state of health when he went to take a nap. His wife saw him walk into the bedroom at 3:00pm (Last known normal) and heard him yelling for help when he woke up around 4:30pm with left sided weakness.

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