The writer is very fast, professional and responded to the review request fast also. Thank you.
Presentation/PPT
27/08/2022
Neurological & Male Genitourinary Disorders
25year old, Hispanic female with a chief complaint of right temporal headaches with nausea. No vomiting. Headaches do improve with rest and sleeping.
What other subjective data would you obtain?
Data that has already been provided is that a right temporal headache that gets worse with light. Patient explains she experiences frequent headaches with menses. Does the patient have a family history? Can she identify any triggers? Additional questions that should be asked are related to the pain she is experiencing. On a pain scale of 0-10, how would she rate the pain? How long does the pain last without rest? Does the pain radiate? Describe the pain; is it throbbing, pulsating or stabbing? Patient takes ibuprofen for the headaches. Does the medication help reduce the pain? If it does, what is the pain rate?
What other objective findings would you look for?
Patient is wearing dark glasses in a dark room due to photophobia. Migraine headaches cause intense, throbbing pain, often on one side of the head. Nausea, vomiting and sensitivity to light, sound and exertion often accompany migraines, which can last several hours or up to three days. Some migraine sufferers experience a visual disturbance called an aura prior to the onset of the migraine. Auras are flashing lights, wavy lines, blurry vision or blind spots (Radiological Society of North America (RSNA) and American College of Radiology (ACR), 2020).
What diagnostic exams do you want to order?
Blood chemistry and urinalysis can rule out any other medical conditions such as dehydration, diabetes or thyroid disease. An MRI can be used to examine the anatomy of the brain and to assist in the diagnosis of tumors, developmental abnormalities, blood vessel problems and disorders of the eyes and the inner ear. A CT scan can detect similar abnormalities. A lumbar puncture also known as a spinal tap, this helps physicians diagnose infections such as meningitis, encephalitis or inflammatory conditions such as multiple sclerosis.
Name 3 differential diagnoses based on this patient presenting symptoms? Give rationales for each differential diagnosis.
Primary headaches are the most common type of headaches, they are painful but not dangerous. Secondary headaches are characterized by excruciating pain which are usually caused by another more serious condition. Migraine is the most common form of headache, but not all headaches are migraines. The term “migraine” refers to a headache which is usually (but not always) on one side of the head. It is a headache that lasts from two to seventy-two hours, typically, and it is often associated with nausea and/or vomiting, sensitivity to light and/or sound. The character of the pain is typically a throbbing pain (Stanford Health Care, 2017). Tension-type headache is most likely the second most common headache type after migraine. They are often referred to as “hatband” headaches because they typically painful around the back of the head, the temples and forehead, as if a tight hat were in place. A cluster headache is a headache which is short lasting usually between 20 minutes and two hours. It is always one-sided and is associated with symptoms such as a stuffy nose on one side, tearing, an enlarged pupil, or a droopy lid.
References
Radiological Society of North America (RSNA) and American College of Radiology (ACR). (2020). Headaches: Migraines – Causes, Diagnostic Tests and Treatment. Retrieved November 26, 2020, from https://www.radiologyinfo.org/en/info.cfm?pg=headache (Links to an external site.)
Stanford Health Care. (2017, September 11). Migraine headache. Retrieved November 26, 2020, from https://stanfordhealthcare.org/medical-conditions/brain-and-nerves/headache/types/migraine-headache.html
The writer is very fast, professional and responded to the review request fast also. Thank you.
Delivering a high-quality product at a reasonable price is not enough anymore.
That’s why we have developed 5 beneficial guarantees that will make your experience with our service enjoyable, easy, and safe.
You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.
Read moreEach paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.
Read moreThanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.
Read moreYour email is safe, as we store it according to international data protection rules. Your bank details are secure, as we use only reliable payment systems.
Read moreBy sending us your money, you buy the service we provide. Check out our terms and conditions if you prefer business talks to be laid out in official language.
Read more