CASE STUDY Neuro Chief Complaint A 49 y. woman, accompanied by her husband, comes in complaining of a significant headache since that morning....

Question Answered step-by-step CASE STUDY Neuro Chief Complaint 1. What history questions do you want to ask? Past Medical HistoryA 49 y.o. woman, accompanied by her husband, comes in complaining of a significant headache since that morning. Patient describes the headache as 8/10 and states that it started suddenly this morning after she attended a breakfast at the Garden Club. While she was sitting at the table, she felt an urge to have a BM, went to the bathroom, and returned to the table. Shortly after that, her HA started. She states she felt nauseous, but there was no vomiting. She drove home and tried to lie down, but HA worsened. Remarkable for two normal pregnancies with uncomplicated deliveries Denies any prior surgeries Current Meds Nasacort and Allegra for seasonal allergies Paxil for menopause symptoms Ca+ and vitamin D Family HistoryNoncontributory Psychosocial HistoryDenies illicit drug use, tobacco use; occasional ETOH consumption Physical Examination Patient in mild distress due to HA, but not in acute distress. BP 150/80 (high for her), HR 78, RR 20 HEENT: Head normal on inspection, without any areas of tenderness. Ears, nose, and throat clear. Pupils both small at 2 mm but reactive to light. Symmetrical extraocular movements and no nystagmus. Slight photophobia. Fundi and optic discs appear normal. No masses detected on examination of neck, no carotid bruits. Mild nuchal rigidity. CV: Heart RR&R. Abdomen soft and nontender. Respiratory: Lungs clear to auscultation bilaterally and normal respiratory effort. Neuro: Patient fully alert, oriented, and calm. CNs intact. Motor strength symmetrical, with brisk and symmetric deep tendon reflexes without clonus. Cerebellar function and sensory systems normal. 2. What are the differential diagnoses for this patient? With rationale 3. What are some other possible differentials? With rationale 4. What is your next step? Health Science Science Nursing NURSING NSG6420 Share QuestionEmailCopy link Comments (0)