A patient with a history of atrial fibrillation presents to…

A patient with a history of atrial fibrillation presents to the ED with sudden onset of dysarthria and left arm weakness beginning one hour ago. A noncontrast head CT scan reveals ischemic stroke in the middle cerebral artery. According to the American Heart Association and American Stroke Association guidelines, which of the following contraindications would need to be corrected before administering intravenous tissue plasminogen activator (tPA)?

A 38-year-old woman with no medical history is brought into…

A 38-year-old woman with no medical history is brought into the emergency department following a witnessed generalized tonic-clonic seizure. On arrival, the patient has two additional generalized tonic-clonic seizures approximately four minutes apart. The patient remains unresponsive between seizures. Which of the following is the most likely diagnosis?