Both arm weakness in CVA
We have a patient that presented with syncopal episode at home with weakness both arms, could not lift arm or leg off cart, could not speak/slurred speech, however awake and aware of surroundings. He was administered tPA and his symptoms completely resolved. He was diagnosed with an acute ischemic stroke. Normally we would code hemiplegia since the weakness was related to stroke, but there is a question that since both arms were affected, would hemiplegia be appropriate.