25-year-old female appears well developed and well-nourished, healthy appearing, wearing dark glasses in a dim room
no injection, anicteric, PERRLA EOMs intact, without pain to movement; normal vision
CTAAP&L
S1S2 without rub or gallop
benign, normoactive bowel sounds x 4;
Non contributory
intact without lesions masses or rashes.
Cranial nerves II to XII intact; sensation intact DTRs 2+ throughout.
Functional neurological exam is WNL
Case 3
“I have been having frequents headaches lately”
A 25-year-old Hispanic female presents to your clinic with a headache located on right temporal area, pulsatile.
Frequent headaches since I was 15, with menses.
Ibuprofen for Headaches
Light makes headache worst Nausea associated with headaches. No vomiting. Headaches improve usually with rest, ibuprofen, and sleep, but it is annoying to have to sleep all-day
B/P 108/64: Pulse 86: RR 16: Temp 98.6;
25-year-old female appears well developed and well-nourished, healthy appearing, wearing dark glasses in a dim room
Once you received your case number, answer the following questions:
1. What other subjective data would you obtain?
2. What other objective findings would you look for?
3. What diagnostic exams do you want to order?
4. Name 3 differential diagnoses based on this patient presenting symptoms?
5. Give rationales for your each differential diagnosis.
6. What teachings will you provide?
Submission Instructions:
• Your instructor will assign you your case number and you will post on the case number you have been assigned.
• You will reply to the other two case studies (One of each).
• Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.