Module 6 case #2
Compliant: I had a extreme headache the day prior to this with scenario to focus on”
History of illness: A 64-twelve months-mature African American female who reviews having a extreme pulsatile diffuse headache the day prior to this with unexpected scenario to focus on with final for roughly two hours. She didn’t peek scientific consideration. This morning she woke up with no concerns nonetheless is right here on the present time due her husband expose.
PMH: Atrial Fibrillation, Hypertension. Is allergic to Non-steroidal Anti-inflammatory medication Aspirin
Drug historical past: Losartan 50 mg Xarelto 15 mg BID
Subjective: Feels Palpitations, joint distress with the day prior to this’s episode
Vitals: B/P 131/80; temperature 98.2°F; (RR) 18; (HR) 84, irregular; oxygen saturation (PO2) 96%;
properly-developed female, no acute injure
Atraumatic, normocephalic, PERRLA, EOMI, conjunctiva and sclera certain; nares patent, nasopharynx certain, correct dentition.
CTA AP&L
Irregular coronary heart beat with standard payment
No tenderness normoactive bowel sounds x 4;
Non contributory
intact with out lesions loads or rashes.
No obvious deficits and CN grossly intact II-XII
As soon as you obtained your case quantity, respond the next questions:
1. What other subjective recordsdata would you’re making?
2. What other diagram findings would you leer?
3. What diagnostic assessments attain you might perhaps well also very properly be desirous to repeat?
4. Name 3 differential diagnoses in accordance with this patient presenting signs?
5. Give rationales to your every differential diagnosis.
6. What teachings will you provide?
7. Your preliminary put up must peaceful be on the least 500 phrases, formatted and cited in present APA model with toughen from on the least 2 academic sources. Your preliminary put up is price 8 elements.
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