Subdural Hemorrhage

Subacute SDH. Chief Complaints A 52 yr old male arrived in Emergency in Drowsy state with few episodes of vomiting. Pt had fever 1 week back following which he took medicine from chemist shop and later attended QUACK who prescribed him some medicine which lead to Disorientation. No Associated features except Headache since 15 days.No Trauma etc. He is a Known HTN-Drug defaulter. Occasional Alcoholic. No H/O DM,Thyroid disorder. O/E pt is Drowsy but oriented to Time ,Place and Person. General Examination along with Vitals normal. Systemic Examination normal including Neurological Examination. Routine Ix along with CT Brain was advised. Next day pt party complained of forgetfulness . CT Brain was done showing Subacute SDH on left side with Mass effect and SubFalcine Herniation. Rest Ix are normal. Neurosurgical opinion is required.Symptomatic T/T has been started.

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Left frontotemporoparietal acute on subacuteSDH ,mid line shift to rt ,uncal herniation to rt with brain edema. Suggest urgent neurosurgical management

H/O .. HT .. WITH.. ? SDH .. WITH ASSOCIATED COMPLICATIONS.. NEED'S.. NEUROLOGISTS OPINION FOR FURTHER MANAGEMENT..

adv to neurologist opinion and further procedure Rx Punarnavashtak qwath bd Kanchnar guggul 2bd Galo ghan tab 1bd Are useful

Pt. must be sent to a neuro-surgeon for emergency care

SDH left side due to uncontrolled HTN & irregular anti htn medications & ignorance. Refer the pt to Neurosurgeon for further needful.

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