[22F] With persistent headache and balance issues post-head injury

Patient Description

A 22-year-old female reports a persistent headache rated 6/10 in intensity, localized to the front and top of her head, which began 2 hours ago following a boxing session. The headache was triggered by a hard punch to the face. The patient also experiences off-balance sensations, mild confusion with word mixing, nausea, and slight ringing in the ears. She reports no significant sensitivity to noise but some sensitivity to light. There are no visual disturbances such as blurred or double vision. The patient has a history of two previous head injuries from similar incidents occurring years ago. No known neurological conditions or other chronic illnesses. No medications reported.

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Arora's Assessment

What might be happening

Based on the information you’ve provided, it is possible that you have experienced a concussion. A concussion is a type of traumatic brain injury caused by a blow to the head, which can lead to symptoms such as headache, confusion, nausea, vomiting, and balance issues. Given your history of previous concussions, it is important to take this seriously.

What you can do

  1. Seek Immediate Medical Attention: Given your symptoms and history of head injuries, it is crucial to get evaluated by a healthcare professional as soon as possible. You should go to the emergency room or an urgent care center. If you are unable to get there yourself, please ask someone to drive you or call for medical assistance.

  2. Rest and Avoid Physical Activity: Until you are seen by a healthcare provider, avoid any physical activities, especially those that could result in another blow to the head.

  3. Monitor Symptoms: Keep an eye on your symptoms. If you experience worsening headache, increased confusion, repeated vomiting, seizures, or any other concerning symptoms, call 911 immediately.

  4. Avoid Screens and Bright Lights: Since you mentioned some sensitivity to light, try to rest in a dark, quiet room to avoid aggravating your symptoms.

  5. Stay Hydrated and Nourished: Drink plenty of water and eat light, nutritious meals to help your body recover.

Remember, I am not a doctor, and it is essential to seek care from real health professionals to receive a formal diagnosis and appropriate treatment. If you have any more questions or need further assistance, please don't hesitate to ask.

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5 mo ago

People Also Ask

What are the common symptoms of a concussion?

Common symptoms of a concussion include headache, confusion, dizziness, nausea, vomiting, balance problems, sensitivity to light or noise, and ringing in the ears. Some people may also experience memory issues or difficulty concentrating.

How long do concussion symptoms typically last?

Concussion symptoms can last anywhere from a few days to several weeks. In some cases, symptoms may persist longer, which is known as post-concussion syndrome. It's important to follow medical advice and allow adequate time for recovery.

What should I do if I suspect I have a concussion?

If you suspect you have a concussion, seek medical attention immediately. Rest is crucial, so avoid physical activities and screen time. Monitor your symptoms closely, and if they worsen, seek emergency care.

Can previous concussions increase the risk of future concussions?

Yes, having previous concussions can increase the risk of future concussions and may also lead to more severe symptoms or longer recovery times. It's important to take precautions to prevent further head injuries.

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