Case Study: "I can't understand, Mom." A 78-year-old female who lives with her daughter presented to the clinic with the daughter stating, "I can't understand, Mom." The daughter reports her mother went to bed OK, but when she saw her mother at breakfast, she noticed she couldn't understand her. The patient has a past medical history of obesity, hypertension, hyperlipidemia, and type 2 diabetes. The provider observed weakness in the right upper and lower extremity with aphasia and left eye deviation on examination. Vital signs include blood pressure of 220/102 with an irregular heart rate of 80-115 beats per minute. Questions Based on the information provided at this time, what is your likely principal diagnosis? Provide support or clinical reasoning based on the pertinent information and include risk factors for principal diagnosis. Include a management plan for the principal diagnosis, and list other active diagnoses. Use evidence-based guidelines. Discuss anticipatory guidance and care.