Case 2? ?I had a severe headache yesterday with difficulty to speak?A 64-year-old African American female who reports having a severe pulsatile diffuse head

 Case 2 

 “I had a severe headache yesterday with difficulty to speak” 

 A 64-year-old African American female who reports having a severe pulsatile diffuse headache yesterday with sudden difficulty to talk with last for about two hours. She did not seek medical attention. This morning she woke up with no problems but is here today due her husband advise. 

 Atrial Fibrillation, Hypertension. Is allergic to Non-steroidal Anti-inflammatory drugs Aspirin 

 Losartan 50 mg
Xarelto 15 mg BID 

 Feels Palpitations, joint pain with yesterday’s episode 

 B/P 131/80; temperature 98.2°F;  (RR) 18;  (HR) 84, irregular; oxygen saturation (PO2) 96%; 

 well-developed female, no acute distress 

 Atraumatic, normocephalic, PERRLA, EOMI, conjunctiva and sclera clear; nares patent, nasopharynx clear, good dentition. 

 Irregular heart beat with normal rate 

 No tenderness normoactive bowel sounds x 4; 

 intact without lesions masses or rashes. 

 No obvious deficits and CN grossly intact II-XII 

 500 words, formatted and cited in the current APA style with support from at least 2 academic sources