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Had syncopic attack, received a head injury which caused a subdural hematoma. Treatment? - Online Doctor Chats

Date : 19-Mar-2013
User rating for this question
Very Good Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2003
Answered : 1229 Questions
Doctor:Good morning
Doctor:Please proceed with your query
User:My father in llaw -77 years had a syncopic attack and received a head injury which caused a subdural hematoma which according to the doctor was not very significant
Doctor:I am sorry on this
Doctor:Please proceed ahead
Doctor:Is is fine now?
Doctor:Is he at hospital or home?
Doctor:how is his general condition?
User:he was discharged after 3 days and came back home--a day later he started to look very confused and too drowsy--so much that he was unable to even swallow food or medicines
User:we admitted him again--now we are tols that his total leukocyte count has gone up to 0000
Doctor:Is he at hospital now?
Doctor:Total leukocyte count of 0000 is still fine even though it is high
Doctor:It suggests recent infection
User:an MRI of brain was done
Doctor:Please tell me the report
User:we still havent received the full report--we have just been told that the report does not show any abnormality and that they can rule out the occurrence of a minor stroke
User:his total count was 6000 last week... Doctor tells me that an infection can also make him behave like he is doing now--drowsy and confused
User:is that really possible?
Doctor:MRI seems to be normal as told by you
Doctor:Is your father in law a Hypertensive?
Doctor:Infection will usually not cause drowsiness and confusion unless the infection is inside the brain
Doctor:Is he on medications for Hypertension?
User:--not at the hospital--they say is bp is not high now---hypertensive and high uric acid--right now urea,creatinine levels are also high--sodium low and potassium slightly high
User:could the mRi detect and infection in the brain?
Doctor:Yes, it can
Doctor:Let me tell you a few things
User:yes please
Doctor:First, it is good that your father in law is at hospital now
Doctor:Please check his GCS
Doctor:That is Glasgow coma scale scoring
User:what is that?
Doctor:If it is 15, then is absolutely fine
Doctor:Ask his treating doctor or the nurse
Doctor:They will tell you
Doctor:His hypertension needs to be well controlled
Doctor:We should look for any infection in him since this WBC count is 0000
Doctor:If the actual MRI report is normal
Doctor:Then he is fine
Doctor:He will need some antibiotics and adequate rest
User:thanks so much----that is very reassuring-- i am just worried because he doesnt seem to respond very well--
User:blood culture reports are due today
Doctor:Remember that he is aged too
Doctor:It may take sometime for him to recover fully
Doctor:It would be ideal to keep him at hospital for 2 more days
Doctor:and then get him back home
Doctor:Hope you followed my suggestions
User:yes thanks so much
Doctor:If not, please ask me again I shall expalin
Doctor:sorry explain
Doctor:Thanks for consulting me
User:no i think i understood--i will ask the doc for these details today
User:thanks for your help
Doctor:Thanks agian
Doctor:Is there anything else I can help you with?
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