I have been having frequents headaches lately”
Chief Complaint
(CC)
“I have been having frequents headaches lately”
History of Present Illness (HPI)
A 25-year-old Hispanic female presents to your clinic with a headache located on right temporal area, pulsatile.
PMH
Frequent headaches since I was 15, with menses.
Drug Hx
Ibuprofen for Headaches
Subjective
Light makes headache worst Nausea associated with headaches. No vomiting, Headaches improve usually with rest, ibuprofen, and sleep, but it is annoying to have to sleep all-day
Objective Data
VS
B/P 108/64; Pulse 86; RR 16; Temp 98.6;
General
25-year-old female appears well developed and well-nourished, healthy appearing, wearing dark glasses in a dim room
HEENT
no injection, anicteric, PERRLA, EOMs intact, without pain to movement; normal vision
Lungs
CTA AP&L
Card
S1S2 without rub or gallop
Abd
benign, normoactive bowel sounds x 4;
Rectal exam
Non contributory
Integument
intact without lesions masses or rashes.
Neuro
Cranial nerves II to XII intact; sensation intact, DTRs 2+ throughout.
Functional neurological exam is WNL
Once you received your case number, answer the following questions:
What other subjective data would you obtain?
What other objective findings would you look for?
What diagnostic exams do you want to order?
Name 3 differential diagnoses based on this patient presenting symptoms?
Give rationales for your each differential diagnosis.
What teachings will you provide?
Collepals.com Plagiarism Free Papers
Are you looking for custom essay writing service or even dissertation writing services? Just request for our write my paper service, and we'll match you with the best essay writer in your subject! With an exceptional team of professional academic experts in a wide range of subjects, we can guarantee you an unrivaled quality of custom-written papers.
Get ZERO PLAGIARISM, HUMAN WRITTEN ESSAYS
Why Hire Collepals.com writers to do your paper?
Quality- We are experienced and have access to ample research materials.
We write plagiarism Free Content
Confidential- We never share or sell your personal information to third parties.
Support-Chat with us today! We are always waiting to answer all your questions.
