<prompt> An 85-year-old patient was brought to the ER, BP: 180100, right hemiparesis was seen. What is the next best step in management?Reduce BPNCCTMRIAspirin 300mg and anticoagulants  <response>: As given clinical features point towards stroke, doing NCCT is the next best step to confirm diagnosis do appropriate management. If CT Scan shows: Hypodense lesion, point towards Acute ischemic stroke- Hyperdense lesion, point towards Hemorrhagic stroke Causes: Embolic stroke cerebral thrombosis Causes: Hypeension, trauma, warfarin toxicity, cerebral amyloid angiopathy etc - DOC - Reteplase - Window period 4.5 hr of symptom onset Brain angiography- window period 4.5-6hr Osmotherapy Ventriculostomy If fails Hemicraniectomy Decompressive For hypeension crisis, Nicardipinelabetalol is used. 