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re: OT Medical question.
Posted on 7/1/17 at 5:05 pm to Jim Rockford
Posted on 7/1/17 at 5:05 pm to Jim Rockford
Migraine?
0
Posted on 7/1/17 at 5:09 pm to Jim Rockford
Look up global transient amnesia.
Posted on 7/1/17 at 5:10 pm to Tiguar
Other than the headache and residual high BP she had no symptoms by the time she got to the ER.
Posted on 7/1/17 at 5:11 pm to Jim Rockford
Any reason they didn't do a CT scan? Has she had carotid dopplers, echo, (stroke work up) with her prior TIA?
I wouldn't let her BP run too low. Want to keep the cerebral perfusion pressure adequate.
Someone mentioned PRES, but that shouldn't cause confusion, but more ataxia/dizziness.
I wouldn't let her BP run too low. Want to keep the cerebral perfusion pressure adequate.
Someone mentioned PRES, but that shouldn't cause confusion, but more ataxia/dizziness.
Posted on 7/1/17 at 5:16 pm to Ric Flair
She had an MRI and I believe ultrasound after the TIA. It was three or four years ago. Maybe a little longer. Nothing unusual found at that time.
Posted on 7/1/17 at 5:49 pm to Jim Rockford
While her blood sugar may have been normal by the time she was seen, it is possible that she had some transient hypoglycemia.
When you say mental confusion, how did it manifest?
When you say mental confusion, how did it manifest?
Posted on 7/1/17 at 5:52 pm to kjacksonp
She got up this morning was making her bed and felt an odd feeling come over her. She said for a few moments she was confused about the steps involved in making the bed.
Posted on 7/1/17 at 5:55 pm to Jim Rockford
Had a Dr. I work for forget how to work his phone. Transient global amnesia.
Posted on 7/1/17 at 5:57 pm to Jim Rockford
Has she been to a hairdresser recently? Leaning her head back getting her hair washed can cause CVA's as can turning her head to look backwards while backing her car up.
Posted on 7/1/17 at 6:00 pm to SamuelClemens
Actually she has within the past couple of days.
Posted on 7/1/17 at 6:48 pm to Jim Rockford
Head CT is standard with mental status change, especially with geriatrics with a previous TIA.
Very odd is was not done.
Very odd is was not done.
Posted on 7/1/17 at 7:05 pm to Jim Rockford
It could be a UTI. Sometimes confusion, dizziness, and headache are the only symptoms the elderly present with. Did they take a urine sample?
I'm not a physician. Get a second opinion if you still concerned and not satisfied with the ER doc's decision.
I'm not a physician. Get a second opinion if you still concerned and not satisfied with the ER doc's decision.
Posted on 7/1/17 at 7:58 pm to Jim Rockford
That's an ER doc with a set of brass balls to not CT a 70+ year old woman given those symptoms.
Was this an ER or Free standing ER? Our place had a busy fricking week pre holiday. Hospital was full.
Good luck to you and mom.
Was this an ER or Free standing ER? Our place had a busy fricking week pre holiday. Hospital was full.
Good luck to you and mom.
Posted on 7/1/17 at 8:30 pm to SamuelClemens
Re: neck hyperextension--Wouldn't that be a vertebral artery CVA in the cerebellum distribution, causing ataxia, maybe nystagmus, but no mental status changes?!!
Posted on 7/1/17 at 9:02 pm to Jim Rockford
My mother is in that same age range, and has something similar every few months. After an extensive neuro workup, she was diagnosed with "aborted migraines". Despite the name, she gets a headache, gets very confused for a short while, then goes to sleep, and wakes up very angry. Taking Maxalt at the first signs lessens the severity and duration of the symptoms significantly.
Posted on 7/1/17 at 9:05 pm to Ric Flair
Update: another episode with loss of consciousness. Back in the ER she can talk and move her limbs and knows where she is. Waiting on more tests. They will probably send her to Shreveport
Posted on 7/1/17 at 9:08 pm to Jim Rockford
quote:prayers sent
They will probably send her to Shreveport
Posted on 7/1/17 at 9:33 pm to leveedogs
quote:^^^this.
But I would be more suspicious for a UTI than a TIA
Posted on 7/1/17 at 9:35 pm to Jim Rockford
quote:
Update: another episode with loss of consciousness
Best of luck. I'd be pretty adamant about a head CT and EKG at this point.
Posted on 7/1/17 at 9:44 pm to Scooby
Could be severely dehydrated
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