- Joined
- Aug 27, 2005
- Messages
- 431
- Reaction score
- 0
35yo male patient presents directly to neurologist 2 weeks after a head injury (assault). hx of hypertension and previous head injury (mild). Didn't seek care at the time of the assault because he states "was drunk and didn't even have a headache." patient unsure whether or not he lost consciousness at the time of the assault but says most likely he didn't.
Complaints include vomiting for one day after trauma, nausea for 2 weeks after trauma, stiff neck for a few days after trauma, tingling in all extremities for nearly 2 weeks, drowsiness, difficulty concentrating.
Assuming neurologic exam is unremarkable, what would you suggest is the next step? CT? MRI? Or would you send the patient home w/ post concussion syndrome?
What is the most likely dx based on the history w/o assistance from imaging?
Complaints include vomiting for one day after trauma, nausea for 2 weeks after trauma, stiff neck for a few days after trauma, tingling in all extremities for nearly 2 weeks, drowsiness, difficulty concentrating.
Assuming neurologic exam is unremarkable, what would you suggest is the next step? CT? MRI? Or would you send the patient home w/ post concussion syndrome?
What is the most likely dx based on the history w/o assistance from imaging?