[23F] With dizziness and nausea post-head injury
Patient Description
A 23-year-old female was hit in the forehead with a basketball yesterday. Since the incident, she has experienced lightheadedness and nausea intermittently. The dizziness is described as similar to the sensation after spinning in circles and is rated as a 6 out of 10 in severity. The patient reports no headache but notes tenderness when pressing on the forehead. There are no symptoms of confusion, memory problems, vision changes, or ringing in the ears. She has no history of previous concussions or head injuries and has not consumed alcohol or drugs since the incident. The patient has a history of hepatitis B diagnosed at birth and reports no known allergies or current medications.
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Arora's Assessment
What might be happening
Based on your symptoms, here are some possibilities:
-
Mild Concussion: A concussion can occur after a blow to the head and may cause dizziness, nausea, and localized pain. Symptoms can vary in severity.
- Typical treatment involves rest and monitoring for worsening symptoms.
-
Soft Tissue Injury: The pain when pressing on your forehead might be due to bruising or a minor injury to the soft tissue.
- This usually resolves with time and can be managed with over-the-counter pain relief.
What you can do
- Rest: Avoid strenuous activities and give your body time to heal.
- Hydration: Drink plenty of fluids to help with dizziness and nausea.
- Pain Relief: Consider using over-the-counter pain medication like acetaminophen for discomfort.
- Symptom Tracking: Use MDandMe to journal your symptoms and track any changes. This can be helpful if you need to consult a healthcare provider.
What you should look out for
Seek medical attention if you experience:
- Worsening dizziness or nausea
- Severe headache
- Confusion or memory problems
- Vomiting
- Changes in vision or hearing
Remember, it's important to consult a healthcare professional for a formal diagnosis and treatment.
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2 mo ago