Reference no: EM133731414

Case Study Description:

Sally Jones, 45 years old, presents to the primary care clinic with a complaint of a headache. She says the headache usually comes when she is at work. She works as an administrative assistant for a chief Executive Officer at a local hospital. The headache is usually generalized and bilateral and most of the intensity of pain is around the neck or the back of her head. Sally says, "When the pain comes it is like a tight band around my head." She says the headaches have been occurring more frequently over the past 30 days. Sally takes "homeopathic" tea she recently bought on her most recent trip to Mexico to visit her family. She does not believe in taking medicine for pain because of the side effects.

Based on the case study please provide a response to each of the following items:

1. What are the pertinent subjective findings? What other questions would you ask Sally to gain more information about her headaches?
2. Describe the focused physical assessment you will perform on this patient. Provide rationale for conducting the focused assessment and support with peer-reviewed scholarly references.
3. Identify the diagnostic studies/tests you will order for this patient (if any). Provide scientific, evidence-based rationale from a nationally accepted clinical guideline to justify the diagnostic studies/tests you will order for this patient.
4. Develop a list of three differential diagnoses for Sally's symptoms. Prioritize the three differential diagnoses from the most serious diagnosis to the least significant diagnosis.
5. What is the most likely diagnosis based on Sally's history of present illness and chief complaint? Is this condition acute or chronic-provide your justification?
6. Develop a comprehensive, holistic treatment plan including pharmacologic and non-pharmacologic therapies for this patient taking into consideration Sally's health belief and cultural belief practices.
7. Discuss the difference in your pharmacologic intervention in acute versus chronic presentation. How will your treatment change if your patient is an adolescent?