NURS NUR 6531WK 9 DISCUSSION
9-case Study2
COLLAPSE
A 30-year-old Asian female presents to the clinic with headaches. History of headaches since her teen
years. Headaches have become more debilitating recently. Describes the pain as sharp, worsens with
light and accompanied by nausea and at times vomiting. Rates the pain as 7/10. Typically takes 2 tabs of
OTC Motrin with ‘some help’. “Sleeping it off in a darkened room’ helps alleviate the headache. VS WNL,
physical exam unremarkable
Primary diagnosis:
Migraine:
The patient reports a history of headaches which have become worse now with nausea, occasional
vomiting, photophobia, and severe pain. By definition; a migraine is described as pounding/throbbing,
moderate to intense, with photophobia, nausea, vomiting, onset post physical exertion, and episodic,
Buttaro et al, (2017, 1031). While the patient has not reported a trigger or aura, this would be important
to include in interview assessment, as well as what was taking place prior to this. Auras are most
commonly associated classic type of migraines. I would have the patient keep a record or headache
diary. This would be helpful in identifying the onset, date, time, occurrences, and possible triggers.
According to The International classification of Headache Disorder Third Edition ( ICHD-3) recurrent
headache disorder manifesting in episodic attacks lasting 4-72 hours. Typical characteristics of the
headache are unilateral location, pulsating quality, moderate or severe intensity, aggravation by routine
physical activity and association with nausea and/or photophobia and phonophobia.
Differential diagnosis:
1) Tumor:
A non-focal intracranial tumor can cause nausea and vomiting, and it can come on slowly or rapidly
depending on the location or type of tumor as well, Buttaro et al, (2017, 1066-67). This would become
more
apparent and suspicious with the detailed history and exam as described above, and I would want to
further assess the patient with diagnostic exams such as an MRI with contrast, head CT, and PET/CT
scan if indicated, Ball et al, (2015).
This study source was downloaded by 100000832558064 from CourseHero.com on 04-11-2022 23:39:10 GMT -05:00
https://www.coursehero.com/file/35509728/WK-9-DISCUSSIONdocx/
9-case Study2
COLLAPSE
A 30-year-old Asian female presents to the clinic with headaches. History of headaches since her teen
years. Headaches have become more debilitating recently. Describes the pain as sharp, worsens with
light and accompanied by nausea and at times vomiting. Rates the pain as 7/10. Typically takes 2 tabs of
OTC Motrin with ‘some help’. “Sleeping it off in a darkened room’ helps alleviate the headache. VS WNL,
physical exam unremarkable
Primary diagnosis:
Migraine:
The patient reports a history of headaches which have become worse now with nausea, occasional
vomiting, photophobia, and severe pain. By definition; a migraine is described as pounding/throbbing,
moderate to intense, with photophobia, nausea, vomiting, onset post physical exertion, and episodic,
Buttaro et al, (2017, 1031). While the patient has not reported a trigger or aura, this would be important
to include in interview assessment, as well as what was taking place prior to this. Auras are most
commonly associated classic type of migraines. I would have the patient keep a record or headache
diary. This would be helpful in identifying the onset, date, time, occurrences, and possible triggers.
According to The International classification of Headache Disorder Third Edition ( ICHD-3) recurrent
headache disorder manifesting in episodic attacks lasting 4-72 hours. Typical characteristics of the
headache are unilateral location, pulsating quality, moderate or severe intensity, aggravation by routine
physical activity and association with nausea and/or photophobia and phonophobia.
Differential diagnosis:
1) Tumor:
A non-focal intracranial tumor can cause nausea and vomiting, and it can come on slowly or rapidly
depending on the location or type of tumor as well, Buttaro et al, (2017, 1066-67). This would become
more
apparent and suspicious with the detailed history and exam as described above, and I would want to
further assess the patient with diagnostic exams such as an MRI with contrast, head CT, and PET/CT
scan if indicated, Ball et al, (2015).
This study source was downloaded by 100000832558064 from CourseHero.com on 04-11-2022 23:39:10 GMT -05:00
https://www.coursehero.com/file/35509728/WK-9-DISCUSSIONdocx/
