Man Has Arm Pain and Numbness, Dizzy Spells – Let’s Diagnose

A 65-year-old man with a history of hypertension went to his doctor because he noticed that recently he was having some pain and numbness in his left arm, especially after doing his daily push-ups. He also had a few dizzy spells or vertigo, but they seemed to happen mainly if he turned his head too quickly. A few times he even experienced double vision. During the exam, the doctor noticed decreased pulses in the man’s left arm as compared to his right arm.

Is it cerebral stroke, acute coronary syndrome, peripheral neuropathy, subclavian steal syndrome?

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