I Human Case Week #6 NR 509 Bebe Babbitt A 27 Year Old Female With More
Frequent Severe Headaches
,
,TABLE OF CONTENTS
I. Case Overview & Patient Demographics 3
II. Chief Complaint & History of Present Illness (HPI) 4
III. Past Medical, Surgical, & Social History 7
IV. Family History 10
V. Review of Systems (ROS) 11
VI. Physical Examination Findings 14
VII. Vital Signs 18
VIII. Focused Neurological Examination 19
IX. Differential Diagnosis 22
X. Diagnostic Testing & Rationale 27
XI. Evidence-Based Treatment Plan 30
XII. Pharmacological Management 33
XIII. Patient Education 37
XIV. Follow-Up & Referral Plan 40
XV. SOAP Note 42
XVI. Clinical Reasoning & Reflection 46
XVII. References 49
Chamberlain University | NR 509 | Confidential Academic Document | Page
, NR 509 Advanced Physical Assessment | Week 6 iHuman Case Study | Bebe Babbitt
I. Case Overview & Patient Demographics
This iHuman case study presents Bebe Babbitt, a 27-year-old female who presents to the outpatient
clinic for evaluation of increasingly frequent and severe headaches. This case is part of the NR 509
Advanced Physical Assessment curriculum designed to challenge nurse practitioner students in
developing comprehensive assessment skills, clinical reasoning, and evidence-based decision-making.
The case emphasizes the importance of a thorough history and physical examination in narrowing the
differential diagnosis and developing an appropriate management plan.
Patient Demographics
Patient Name Bebe Babbitt
Age 27 years old
Sex Female
Height 5'6" (168 cm)
Weight 122 lbs (55.5 kg)
BMI 19.7 kg/m² (Normal range)
Reason for Encounter More frequent severe headaches
Encounter Location Outpatient clinic with IV, ECG, and laboratory capabilities
Insurance Status Private insurance
Clinical Learning Objectives
This case is designed to achieve the following learning objectives for advanced practice nursing students:
• Demonstrate the ability to perform a comprehensive, systems-based history using the
OLDCARTS framework for a patient presenting with headache.
• Identify key elements of the neurological history and physical examination pertinent to headache
disorders.
Chamberlain University | NR 509 | Confidential Academic Document | Page
Frequent Severe Headaches
,
,TABLE OF CONTENTS
I. Case Overview & Patient Demographics 3
II. Chief Complaint & History of Present Illness (HPI) 4
III. Past Medical, Surgical, & Social History 7
IV. Family History 10
V. Review of Systems (ROS) 11
VI. Physical Examination Findings 14
VII. Vital Signs 18
VIII. Focused Neurological Examination 19
IX. Differential Diagnosis 22
X. Diagnostic Testing & Rationale 27
XI. Evidence-Based Treatment Plan 30
XII. Pharmacological Management 33
XIII. Patient Education 37
XIV. Follow-Up & Referral Plan 40
XV. SOAP Note 42
XVI. Clinical Reasoning & Reflection 46
XVII. References 49
Chamberlain University | NR 509 | Confidential Academic Document | Page
, NR 509 Advanced Physical Assessment | Week 6 iHuman Case Study | Bebe Babbitt
I. Case Overview & Patient Demographics
This iHuman case study presents Bebe Babbitt, a 27-year-old female who presents to the outpatient
clinic for evaluation of increasingly frequent and severe headaches. This case is part of the NR 509
Advanced Physical Assessment curriculum designed to challenge nurse practitioner students in
developing comprehensive assessment skills, clinical reasoning, and evidence-based decision-making.
The case emphasizes the importance of a thorough history and physical examination in narrowing the
differential diagnosis and developing an appropriate management plan.
Patient Demographics
Patient Name Bebe Babbitt
Age 27 years old
Sex Female
Height 5'6" (168 cm)
Weight 122 lbs (55.5 kg)
BMI 19.7 kg/m² (Normal range)
Reason for Encounter More frequent severe headaches
Encounter Location Outpatient clinic with IV, ECG, and laboratory capabilities
Insurance Status Private insurance
Clinical Learning Objectives
This case is designed to achieve the following learning objectives for advanced practice nursing students:
• Demonstrate the ability to perform a comprehensive, systems-based history using the
OLDCARTS framework for a patient presenting with headache.
• Identify key elements of the neurological history and physical examination pertinent to headache
disorders.
Chamberlain University | NR 509 | Confidential Academic Document | Page
