<s>[INST] a patient comes into the office complaining of numbness in the left side of the face and difficulty walking, the patient is having difficulty with speech and is easily confused. What questions should you ask the patient and what appears to be the primary diagnosis? [/INST] Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have numbness in left side of face, easily confused and difficulty in walking and in speech. Well there can be many reasons for symptoms you mention in query like signs of stroke, brain tumor, bells palsy or trigeminal neuralgia. I would suggest you to consult cardiologist first to rule out more serious condition. Doctor may order ECG, complete blood profile, troponin t and sometimes doctor may order angiography. Doctor may also refer you to neurologist for brain or neuralgia problem. For now stay cal, relax yourself, do not exert you body and take proper rest.  Hope your concern has been resolved. Get Well Soon. Best Wishes, </s>