A 56-year-old man comes to the emergency department with sever | Uworld | Step 2ck

A 56-year-old man comes to the emergency department with severe dizziness, inability to walk, and stabbing pain on the right side of his face that started this morning. He has a history of diet-controlled type 2 diabetes mellitus, hypertension, and hyperlipidemia. His blood pressure is 144190 mm Hg and pulse is 92fn1in. The patient topples to the right when sitting without support. The left pupil is larger than the right, and there is reduced corneal reflex on the right directly but not consensually. There is partial ptosis of the right eye. Horizontal and rotational nystagmus is present His voice is hoarse. His gag reflex is diminished. There is loss of pain and temperature sensation in the right face and the left trunk and limbs.