A 73 year old woman with a history of diabetes hypertension and hyperlipidemia presents to the emergency department
A 73 year old woman with a history of diabetes hypertension and hyperlipidemia presents to the emergency department with weakness approximately 3 hours before arrival she experienced left-sided weakness facial weakness and impaired vision for about 5 minutes with spontaneously resolved on initial evaluation the patient’s heart rate is 80 beats per minute and normal sinus rhythm blood pressure is 150 over 90 mmhg, oxygen saturation is 98% on room air. the patient has no events on Telemetry a computed tomography scan of the head is normal and a carotid ultrasound reveals 70% occlusion in the right internal carotid which of the following is the appropriate management for this patient? a. aspirin B. aspirin and atorvastatin C apixaban D. aspirin, atorvastatin, and carotid endarterectomy E. apixaban, atorvastatin, and carotid endarterectomy
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