88 yr old female with syncopal episode at the grocery store. Has left sided weakness with slurred speech and facial drooping on the left. She has a history of atrial fibrillation but is only on ASA for it. She also takes 3 medications for hypertension. Her vitals show: HR = 100's a.fib. ; BP = 135/75. Her INR = 1.1. We are requesting an acute stroke neurology consultation for possible tpa administration.