[35F] With persistent symptoms post-concussion and elevated white blood cell count

Patient Description

A 35-year-old female experienced a concussion two weeks ago and has since been experiencing persistent symptoms. These include vomiting (twice daily), lightheadedness rated 8/10, sharp back pain along the spine, tight and sharp chest pain rated 7/10, and a rotten taste in the mouth. The patient also reports weakness on one side of the body, shortness of breath, palpitations, and headaches. Recent blood tests revealed a white blood cell count that is twice the normal level. The patient has no pre-existing conditions, is not currently taking any medications or supplements, and has no known drug allergies.

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Arora's Assessment

What might be happening

Based on the information you've provided, several potential conditions could be causing your symptoms:

  • Post-Concussion Syndrome: Symptoms like dizziness, headaches, and nausea can persist for weeks or months after a concussion. This could explain your ongoing vomiting, lightheadedness, and headaches.

    • Treatment typically involves rest and avoiding activities that could worsen symptoms. Over-the-counter pain relievers may help with headaches, but it's important to follow up with a healthcare provider for a comprehensive management plan.
  • Infection: A high white blood cell count often indicates an infection or inflammation in the body. This could be related to your chest pain, back pain, and general feeling of being unwell.

    • Treatment depends on the type of infection. Antibiotics may be prescribed if a bacterial infection is suspected. It's crucial to follow up with your healthcare provider for further evaluation and appropriate treatment.
  • Neurological Issues: Weakness on one side of the body, along with dizziness and headaches, could indicate a more serious neurological condition, such as a stroke or transient ischemic attack (TIA).

    • Immediate medical evaluation is necessary to rule out these conditions. Treatment may involve medications to manage symptoms and prevent further complications.
  • Gastrointestinal Issues: Persistent vomiting and a rotten taste in your mouth could be related to gastrointestinal problems, such as acid reflux or an infection.

    • Treatment may involve dietary changes, medications to reduce stomach acid, and further testing to identify the underlying cause.

What you can do

  1. Seek Immediate Medical Attention: Given the combination of your symptoms, especially the high white blood cell count, weakness on one side of your body, and chest pain, it's important to seek immediate medical attention. These could be signs of a serious condition that requires prompt treatment.
  2. Rest and Hydrate: Ensure you get plenty of rest and stay hydrated. Avoid activities that could worsen your symptoms, such as strenuous exercise or activities that require intense concentration.
  3. Monitor Your Symptoms: Keep a detailed record of your symptoms, including their frequency, duration, and any potential triggers. This information will be helpful for your healthcare provider.

What you should look out for

  • Worsening Symptoms: If your symptoms worsen or new symptoms develop, seek medical attention immediately.
  • Severe Headache: If you experience a sudden, severe headache, especially if it's different from your usual headaches, seek emergency care.
  • Difficulty Breathing: If you have trouble breathing or if your chest pain becomes severe, call 911 or go to the nearest emergency room.
  • Changes in Consciousness: If you experience confusion, difficulty speaking, or loss of consciousness, seek emergency medical care immediately.

Remember, while this information can help guide you, it's crucial to follow up with a healthcare provider for a formal diagnosis and appropriate treatment.

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7 mo ago

People Also Ask


What is post-concussion syndrome and how long can it last?

Post-concussion syndrome is a complex disorder in which various symptoms, such as headaches and dizziness, last for weeks or months after the injury that caused the concussion. The duration can vary, but symptoms typically improve over time with proper management.


What does a high white blood cell count indicate?

A high white blood cell count often indicates that the body is fighting an infection or inflammation. It can also be a sign of stress, an immune system disorder, or, in some cases, more serious conditions like leukemia.


What are the signs of a serious neurological condition like a stroke?

Signs of a serious neurological condition like a stroke include sudden weakness or numbness on one side of the body, confusion, difficulty speaking or understanding speech, vision problems, severe headache, and loss of balance or coordination. Immediate medical attention is crucial.


How can gastrointestinal issues cause a rotten taste in the mouth?

Gastrointestinal issues such as acid reflux or infections can cause a rotten taste in the mouth due to the backflow of stomach acids or the presence of bacteria. This can lead to an unpleasant taste and may require dietary changes or medications to manage.


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