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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Vomiting, Headache, High BP And Disorientation

My 81 year old father had vomiting and severe headache 1 day (has has severe headaches for about 4/5 weeks prior) by the next. By the next morning he was suferring huge pain BP upto 218 confusion/disorientation not knowing people and where he was and not being able to comunicate really away with the fairies not eating/drinking now either 1st scan showed nothing having a MRI scan tomorrow what is this like to be??
Thu, 6 Feb 2020
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General Surgeon,  's  Response
Hello,

As there is vomiting, headache, disorientation with high BP suggestive of cerebrovascular stroke raising intracranial pressure with or without hemorrhage. Many times, early stroke do not reveal positive on CT scan and MRI is the gold standard for the same. He requires admission and care at Intensive care unit with expert neurologist for supportive care of intravenous fluids, mannitol to lower the blood pressure and intracranial tension, antibiotics to prevent infection and systemic sepsis, control of electrolytes, sugar, blood pressure and cardiac function monitoring of oxygen saturation, creatinine and ABG readings

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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Suggest Treatment For Vomiting, Headache, High BP And Disorientation

Hello, As there is vomiting, headache, disorientation with high BP suggestive of cerebrovascular stroke raising intracranial pressure with or without hemorrhage. Many times, early stroke do not reveal positive on CT scan and MRI is the gold standard for the same. He requires admission and care at Intensive care unit with expert neurologist for supportive care of intravenous fluids, mannitol to lower the blood pressure and intracranial tension, antibiotics to prevent infection and systemic sepsis, control of electrolytes, sugar, blood pressure and cardiac function monitoring of oxygen saturation, creatinine and ABG readings Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon