Headaches: A Case Study

It’s 5a.m and I can barely move; everything is blurry, my right hand is numb, and the right side of my head is pounding. A couple hours later everything transferred from my right side of my body to the left side of my body. It is a migraine that I am having, and this has been my life since 6th grade.

Pt c/o 7/10 tension headache with light sensitivity x 1 week and half. He states that his headaches originates in the back of his head and neck. He denies SOB, n/v, facial dropping, numbness or tingling, or sensitivity to nose. Tried to offer pt the next available and home care advice. Pt refused to listen. Pt states that he is going to the ER. Informed Cpt Lam the pt

had some very troublesome headaches so at first, I was compassionate to her issue. The problem with her complaint of being ill was not present when she would go on vacations. While on vacation, she was able to play volleyball, run on the beach, and resume her normal life abilities. Unfortunately, her illness would be right back when it was time to return back to work. While serving as the Admin Sergeant I was tasked with working a special event detail and this officer was assigned to me. The morning of the detail she did not show up for work. I tried calling her several times and she finally answered, giving me the excuse that she was sick and had told her supervisor. I immediately called her supervisor and he said that she did call

Patient is a 34-year-old left-handed white male who states that in January he was in a parking lot and was hit by a plow truck that was backing up. His back was turned and he did not know what was happening. He fell on his back and hit the back of his head on the tailgate. He denied any loss of consciousness. He did have a significant headache and neck pain, but no neurological symptoms. He did have some pain in his right hand and right ankle after this. He did present to the emergency room, where an unenhanced CAT scan was negative. Since then however, he has been having daily headaches. He has an almost constant, dull, mild bitemporal pressure sensation, but he also has significant

HPI: Mrs. L. A. is a 44 year old, Hispanic female who presents with a severe right-sided head pain for the last 24 hours, denies fever or head trauma. Additional subjective data crucial for the health care provider to obtain are; how did the headache begin? Have you had this type of headache before? How severe is your pain on a scale from 0 (no pain) to 10 (worst pain ever)? How does the headache feel? What aggravate and alleviate the headache? This information helps to evaluate onset, location, duration, character, and severity of the pain. A mental status screening, such as, Mini-Mental State Examination can be performed to evaluate mental status deficit to rule out a potentially serious or life-threatening situation for the patient requiring immediate testing (CT) and treatment (Dains, Baumann, & Scheibel, 2016). Intracranial hemorrhage (ICH) is a life threatening condition leading to stroke or coma. Symptoms includes sudden onset severe headache with or without trauma (Dains, et. al. 2016). Furthermore, to evaluate for migraines headaches or tension headaches the RNP should ask; are there any other

This began in Greece when Galen said that vapors from the liver going to the head caused them. However, later on Harold Wolff decided that they come from stretching and dilating blood vessels in the brain. This lead people to believe that a decrease in blood causes the migraine, but it was later observed that an increase in blood is what causes the pain. However, blood flow is not increased during the headache, rather the circulation remains normal or in some cases is reduced. These findings have lead people to assume that the main culprit may be a nervous system disorder. Sadly, this disorder occurs in one of the most primitive and required parts of the nervous system, the brain

The most common type of concussion in my grade 5/6 class was hitting the head on something and that can cause your brain to rock back and forth causing headaches and can knock you out! People have a higher chance of getting concussions if they play physical contact sports like football. If you notice you have memory loss, nausea etc. Most likely it means you got a concussion, but you didn’t notice! During the process of having a concussion it can be hard to concentrate and you might have a short temper! Some people say *“If someone had a big brain injury they should stay up 24 hours.” It isn’t such a great idea because if you get some rest you will recover better, and faster in your mind! To recover fast you must rest lots. Headaches can cause

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

1. Based on the case scenario, provide a diagnosis for Bob include the pathophysiology for this type of headache.

The patient was initially evaluated at two outside hospitals with non-contrast head CT and CSF analysis which remained grossly unremarkable. Following both evaluations, the patient was discharged with oral analgesics. Following the third episode, the patient presented to our emergency department where was admitted to the Hospital Neurology Service. Upon admission, vital signs and laboratory studies were grossly unremarkable. MR angiography of the head revealed multiple foci of segmental vasoconstriction of the anterior and posterior circulation suggestive of RCVS. The patient was treated with oral calcium channel blockers and discharged home with a mild persistent

David Loffert, a student with masters in Health Science and trying to get his Ph.D in respiratory medicine, it all started with some migraine headaches. He ended up being prescribed 6647 controlled substance pills in 8 months by his doctor, Dr. Cary Suter. David Loffert says he put his trust in her because she was the medical school’s doctor. The pills were for pain, sleep, staying awake, and anxiety. He became addicted for 9 years and fell into depression. He was unemployed and homeless. Between seizures and overdoses, he came close to death about 90 times. It took 9 times to try to become sober in rehab but relapsed when discharged. He became sober after a year long rehab facility but did waste almost a decade of his life. It is clear that

Further, moving into disability step, AVPU (Alert, Voice, Pain and Unresponsive) was used to assess his level of consciousness (Jevon 2008). He was alert but appeared confused and complained of a severe headache describes as “being hit on the back of the head with a hammer” with a pain score of 10/10. A severe headache is common problem presenting with Mr Devi’s condition after stroke due to increased intracranial pressure resulting from trauma with oedema or haemorrhage (Gould and Dyer 2011).

The three types of headaches are tension headaches, migraine headaches, and cluster headaches. The symptoms of a tension headache are usually include dull aching on both sides of the head, pressure, or tightness around the head, tenderness of the neck and shoulders. There are two types of a tension headache: the acute tension that last a short period and chronic tension headaches that might appear almost every day for long periods. The causes of tension headaches might occur due to psychological stress, poor posture, and immobility. The symptoms of a migraine headache include pain that may spread, but usually on one side of the head, sensitivity to light, visual disturbance, nausea, and fatigue that might last up to several days. The causes

Migraine headaches are the result of a disturbance in the neurochemistry of the central nervous system. They are relatively common, affecting three times as many women as men. Migraine sufferers typically report a definite pattern to their headaches, and they can report what stimuli bring them on. Most migraine sufferers experience their first attack before the age of 20. There is no single cause of migraines, but the tendency to get migraines does tend to run in families. When a migraine occurs, it means that something has altered several of the neurotransmitter-sensitive receptors located on the outside surface of the nerve cells (neurons) so that the nervous system is no longer able to constantly maintain the natural balance that the

Chief Complaint: Headaches on and off for three days, routine monthly visits for hypertension, diabetes, and, glaucoma evaluations.