Chief Headache Case Study

Migraine headache. She is seeing Dr. Somireddy. She is going to go ahead and continue her follow up with her as well and will continue with her current

No history of skin disease. Skin is pink, dry, and void of bruising, rashes, or lesions. No recent hair loss; head is normocephalic. Pupils equally reactive to light; no history of glaucoma or cataracts. Ears are in normal alignment; no history of chronic infections, hearing loss, tinnitus, or discharge. Nose and sinus history includes clear nasal discharge “since last October”, and occasional nose bleeds; states she use to get nose bleeds often as a child. Mouth and throat are absent of lesions; no bleeding gums, sore throat, dysphagia, hoarseness, or altered taste. Neck is void of pain, swelling,

12/16/15 Progress Report indicated that the patient wakes up with headaches. She mentioned headache in the frontal vertex or temporal occipital areas. She also feels imbalance. She denies bruxism and has no significant neck symptoms. She reported having some minor neck tightness. She was being treated with acupuncture 2 X per week and craniosacral therapy 2 X per week. She noted that she was able to read better in the past two weeks. She had difficulty scanning a written page in the past. She also mentioned that her insomnia has slightly improved since initiating these 2 therapies. Physical exam showed no palpable spasms in her cervical region over her muscles of mastication. Cervical range of motion: backward flexion 70 degrees and forward flexion 60 degrees. She was able to turn 60 degrees to each side. She is able to tilt 40 degrees to other side. Comments: Based on the absence of objective findings, she has reached a medical end result with no need for any further treatment. No additional treatment or diagnostic testing is

I chose to write about migraine headaches. I have been diagnosed with migraines since the young age of 5. They have been a constant struggle. I tend to not respond to typical medications used to treat migraine pain and we have found zero correlations between diet and my headaches. I typically end up in the ER a few times a year for help dealing with the pain.

The 32 year old patient is presenting with chronic headaches. Subjective data indicates over the eye throbbing or pressure that spreads to the ipsilateral temple which typically occurs on the left side. This headaches occur with extremely light and sounds which become aggravated with movement. Given this information, it is necessary to explore additional questions. According to Guilbea and Lenahan (2015) the health history questions are key to making a diagnosis as it will help to rule out another diagnoses. They questioned presented to the patient are listed below. Question one will identify whether the headache is primary or secondary. Using the well-established PQRST pain method, the questions are designed based on this method. For question two the P aspects of pain which stands for provocating and precipitating factors. In question three, the Q stands for quality of pain. Question four addresses the R which stands for radiation. The patient did report it moves which is an area that requires further

Based on the medical report dated 03/25/16, the patient continues to have significant headaches and bilateral neck and shoulder pain. IW has numbness and tingling in both arms with neck pain.

To finish the discussion of the different types of headaches is an exploration of research associated with cervicogenic headaches. Classified as a secondary headache, cervicogenic headaches are defined as a disorder originating in the cervical region that develops in the head/face region. This includes involvement from any cervical musculature as well as bony, disc, or other soft tissue structures. Characteristic symptoms of cervicogenic headaches include unilateral pain without side-shift, elicitation of pain with external pressure over the ipsilateral upper neck, limited cervical range of motion, and the triggering of attacks by various awkward or sustained neck movements (Dunning et al., 2016). In regards to abnormal movements of the neck,

HEAD: Headaches as described in CC and HPI. No history of head trauma. No syncope.

Is migraine genetic? What can be done to prevent migraine from passing on to the future generation?

extreme pain only at night, due to the pain affecting the patient’s daily activities she was

After a few days the headache had returned along with a few new symptoms. She was experiencing neck pain with the headache and feeling unbalanced. She made an appointment with her PCP. Her PCP ordered a battery of test, compiled a patient history, and treated her symptoms until further information was obtained. Tests ordered were as follows: CBC, Chem 16, and UA. All tests were within normal range. However, the symptoms were still present and the patient was not improving.

Patient is a 33-year-old Latin American female who states that she started having milder "normal" headaches at age six or seven years old. Menarche was at age 13, but that did not change the quality or frequency of her headaches. She was pregnant twice without any change in the headaches during pregnancy and in the postpartum periods. She has never been on birth control pills. Her headaches started to become menstrual related three to four months ago. Prior to that, her headaches were mild and maybe once a month and not associated with her menses. They would be pan cephalic, stabbing with no systemic or neurological symptoms. The severity was 3/10. They did worsen with exertion. When winter came, her husband was

Migraine: A severe recurring headache, usually affecting only one side of the head, that is characterized by sharp, throbbing pain and is often accompanied by nausea, vomiting, sensitivity to light, and visual disturbances (dictionary.com).

Excellent POST! Your detailed patient symptoms clearly outline a moderate migraine clinical presentation. Each patient presents differently is also a key to recognizing how to positively treat to meet individual factors (allergies, drug interactions, pregnancy concerns, age ect). For example, Woo and Robinson (2016) identify serotonin syndrome developments with interactions with triptans (p. 1043). Reviewing each patient’s medication list comprehensively is imperative and utilizing resources such as a pharmacist, can positively prevent potential detrimental events.

In modern stressful life, people seek quick fixes for everything, including the body. Pills and medicine often only offer temporary relief, but does not fix the cause of the problem. If one continuously suffer from headaches or migraine, it is best to seek professional help to find the root of the problem. Many minor ailments are often superficial symptoms of a serious underlying problem.