[47M] Post-traumatic symptoms following minor head injury
Patient Description
A 47-year-old male experienced a minor head injury after slipping in the shower, impacting the back of his skull on the top right side. The incident occurred within the last hour, leading to symptoms including a pounding headache radiating from the back of the head to the eyes, blurry and watery vision in one eye, and a brief loss of consciousness. The patient also reported transient confusion, rubbery legs upon standing, and excessive salivation resulting in slurred speech, which has resolved. The patient has a history of two hernia surgeries and one submandibular surgery, and an allergy to penicillin. No current medications are being taken. The patient has not consumed any substances that could contribute to the symptoms and denies any family history of bleeding or clotting disorders.
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Arora's Assessment
What might be happening
Based on the information you've provided, you may have experienced a concussion, which is a type of traumatic brain injury often caused by a blow to the head. Symptoms can include headache, confusion, dizziness, blurred vision, and temporary loss of consciousness, all of which you've reported.
- Concussion: A concussion is a mild traumatic brain injury that usually happens after a blow to the head. It can also occur with violent shaking and movement of the head or body. You don't have to lose consciousness to get a concussion or post-concussion syndrome. In fact, the risk of post-concussion syndrome doesn't appear to be associated with the severity of the initial injury.
- In most people, symptoms occur within the first seven to 10 days and go away within three months. Sometimes, they can persist for a year or more.
- The goal of treatment after concussion is to effectively manage your symptoms.
What you can do
- Rest and avoid activities that could potentially lead to another head injury.
- Over-the-counter pain relievers such as acetaminophen (Tylenol) can help with headaches. Do not take aspirin or ibuprofen (Advil, Motrin) as they may increase the risk of bleeding.
- Avoid activities that require concentration or complicated thinking, such as work tasks, housework, and schoolwork, until you feel better.
- Stay hydrated and maintain a healthy diet.
What you should look out for
Please seek immediate medical attention if you experience any of the following:
- Increased intensity of headaches
- Seizures
- Repeated vomiting
- Unusual behavior change
- Difficulty walking or speaking
- Weakness or numbness in arms or legs
- Decreased coordination or balance
- Persistent or worsening confusion or disorientation
- Any other symptom that concerns you
Please remember that while I strive to provide accurate information, I'm an AI and not a doctor. It's important to seek medical attention for a proper diagnosis and treatment.
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10 mo ago