Complaining of sudden onset headache

Assignment Help Other Subject
Reference no: EM133260302

A 45-year-old Hispanic female, Ms. Rodriguez, presents to the clinic complaining of sudden onset headache. She states this headache is different from her previous migraine headaches. The headache pain is described as a 10 on a scale of 0-10 with 10 being the worst pain. The pain is nonradiating, and she has mild photophobia. She did not get relief with sumatriptan (Imitrex), which previously provided relief for her migraines. She feels nauseous and states she vomited twice. 

Physical examination findings are as follows: 

  •  Vital signs: temperature 98.8°F; pulse 88 beats per minute; respirations 20 per minute; blood pressure 150/95 mmHg; pulse oximeter 100% on room air.
  • General appearance: alert, in mild discomfort due to pain.
  • Head, Eyes, Ears, Nose, and Throat: normocephalic, atraumatic; pupils equal, round, reactive to light and accommodation; sclera nonicteric; extraocular movements intact; no nystagmus; optic disc margins are sharp with no evidence of papilledema or hemorrhaging noted.
  • Lungs: clear to auscultation bilaterally.
  • Cardiac: regular rate and rhythm; S1, S2 with no murmur.
  • Abdomen: soft, depressible, nontender, no organomegaly.
  • Neuro: cranial nerves II-XII intact; muscle strength 5/5; deep tendon reflexes 2+ and symmetrical throughout; no pronator drift; negative Romberg sign; coordination intact; gait steady.

Answer the following questions or provide responses based on Part 3.

  1. What is your differential diagnosis?
  2. What are your risk factors for meningitis? Subarachnoid hemorrhage (SAH)?
  3. What imaging would you like to do?
  4. Discuss the difference between a headache that presents gradually as compared to a headache that presents suddenly.
  5. What other history to you want to obtain from this patient?
  6. What clinical findings would you anticipate with meningitis?
  7. What clinical findings would you anticipate with SAH?

Reference no: EM133260302

Questions Cloud

Discuss the responsibilities of strategic leadership : Responsibilities of strategic leadership that the CEO, Erik Venter at Comair could utilise to successfully lead the effort in strategy execution.
Describe physical-cognitive development in middle adulthood : How would you describe social and emotional development in middle adulthood?
Explain the pathophysiology changes : Explain the pathophysiology changes that may occur with Hashimoto's disease. What patient education would need to be included related to this disorder?
Address staffing augmentation : Make a PICOT (patient, intervention, comparison, outcome) on how to address staffing augmentation during this pandemic situation. Prepare a COVID Manpower (RN,
Complaining of sudden onset headache : A 45-year-old Hispanic female, Ms. Rodriguez, presents to the clinic complaining of sudden onset headache. She states this headache is different from her previo
Describe the content and methods of communication : In approximately 150 words, describe the content and methods of communication you would use to advise the supplier of these concerns.
What can be done to address and stop the violation : Cite an international human rights story regarding immigration issues that you retrieved from a reliable media source (newspaper, TV, radio, etc.).
Education on prevention of ischaemic stroke : Design a Patient Information Tool to explain how the blood supply to the brain works, ischaemic stroke, and prevention of ischaemic stroke. Integration of the
Quantitative and qualitative evidence : You are a staff nurse caring for a patient in a critical care unit. The unit policy limits visitors to 10 minutes in the evening hours. You find yourself needin

Reviews

Write a Review

Other Subject Questions & Answers

  Cross-cultural opportunities and conflicts in canada

Short Paper on Cross-cultural Opportunities and Conflicts in Canada.

  Sociology theory questions

Sociology are very fundamental in nature. Role strain and role constraint speak about the duties and responsibilities of the roles of people in society or in a group. A short theory about Darwin and Moths is also answered.

  A book review on unfaithful angels

This review will help the reader understand the social work profession through different concepts giving the glimpse of why the social work profession might have drifted away from its original purpose of serving the poor.

  Disorder paper: schizophrenia

Schizophrenia does not really have just one single cause. It is a possibility that this disorder could be inherited but not all doctors are sure.

  Individual assignment: two models handout and rubric

Individual Assignment : Two Models Handout and Rubric,    This paper will allow you to understand and evaluate two vastly different organizational models and to effectively communicate their differences.

  Developing strategic intent for toyota

The following report includes the description about the organization, its strategies, industry analysis in which it operates and its position in the industry.

  Gasoline powered passenger vehicles

In this study, we examine how gasoline price volatility and income of the consumers impacts consumer's demand for gasoline.

  An aspect of poverty in canada

Economics thesis undergrad 4th year paper to write. it should be about 22 pages in length, literature review, economic analysis and then data or cost benefit analysis.

  Ngn customer satisfaction qos indicator for 3g services

The paper aims to highlight the global trends in countries and regions where 3G has already been introduced and propose an implementation plan to the telecom operators of developing countries.

  Prepare a power point presentation

Prepare the power point presentation for the case: Santa Fe Independent School District

  Information literacy is important in this environment

Information literacy is critically important in this contemporary environment

  Associative property of multiplication

Write a definition for associative property of multiplication.

Free Assignment Quote

Assured A++ Grade

Get guaranteed satisfaction & time on delivery in every assignment order you paid with us! We ensure premium quality solution document along with free turntin report!

All rights reserved! Copyrights ©2019-2020 ExpertsMind IT Educational Pvt Ltd