Run structured history and red-flag screening.

You ask focused questions to clarify the onset, progression, and severity of Ny. M’s symptoms. You confirm when she was last known to be well and whether the weakness, speech difficulty, and dizziness began suddenly.

You ask about facial asymmetry, inability to raise the right arm, difficulty understanding or producing speech, loss of consciousness, seizure, severe headache, vomiting, visual disturbance, and any injury related to the fall.

You also ask about relevant medical history, including previous similar episodes, hypertension, diabetes, current medications, and drug allergies.

Ny. M’s daughter reports that the symptoms started suddenly about one hour ago. Ny. M has difficulty speaking and cannot move her right arm normally. She remains conscious, with no seizure or vomiting. She has a history of uncontrolled hypertension and has never experienced a similar episode before.

You recognize that the combination of sudden focal neurological symptoms and the limited nature of remote assessment requires further structured evaluation and timely decision-making.

How do you proceed at this stage?