Loss of Consciousness in a 50-yr-old Man

History of Present Illness

A man who appears to be in his 50s is brought to the emergency department. The history is given by emergency medical technicians (EMTs), who state they were called to a store for a 50-yr-old man who possibly had a stroke. At the store, they found him lying on the ground unconscious but breathing normally. After their arrival, the patient awoke but was unable to give coherent responses to questions or commands.

Store employees who saw the patient reported to EMTs that he fell to the ground suddenly from a sitting position, then began drooling, and his arms and legs shook for what seemed to be a long time, but they cannot quantify how long. They state he had not appeared ill before the event.