re: OT Medical question.

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This morning my mother had a very brief episode of mental confusion. She has had a TIA before and thought it was that but the ER doc didnt think so. Her BP had spiked pretty high. It is usually in the low normal range with medication.

She has been completely lucid since the one event and besides the BP, has no other symptoms except what she says is a sinus headache. Did not do any scans. He said her bloodwork looked good. Sent her home with Ibuprofen for the headache and instructions to see her internist next week. Did not seem concerned at all. He thought a viral infection might be causing the high BP. Curious to hear the thoughts of any medical pros.

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Hypertensive encephalopathy vs small lacunar infarct. Given her headache, altered mental status and elevated BP, she should have gotten a CT scan of her head...I would have done a CTA to rule out an aneurysm. If she continues having headaches I would take her to a different ER.