Sally's 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

Patient is a 19-year-old right-handed white female who is a fair historian. She states that she started having headaches as a child. Her father told her that he also had headaches and that they would eventually go away. She describes having a severe headache, which she calls her first migraine, after softball practice at age 12. Menarche was at age 13 with no change in her headaches. Her headaches have not been menstrually related. There was no clear change in her headaches during pregnancy or in the postpartum period. She states that she gets a dull headache two to three days out of a week. This is in variable locations on her head, but can also be a nuchal. The pain is of variable quality, but it does worsen with exertion. She also gets more

As a means of better identifying triggers, keep a journal of the dates, times, activities preceding onset headache. Include dietary intake for a month. Listing the aura symptoms and any other symptoms associated with headache episode is also helpful (Arcangelo & Peterson, 2013).

Mrs. Greene is a 52-year-old female here today for followup regarding her migraines and hypothyroidism.

FHX: Ask about any family history of tension headaches, migraines, optic neuritis, stroke, DM, HTN, CA, and CVD.

Migraine headaches. At this point, I am going to have her try Imitrex with her next headache. She is going to start with 50 mg, one p.o. at the onset of her headache, may repeat in two hours, #15 with one refill. She is going to monitor for triggers and try to avoid those if possible. We did review the side effects of the Imitrex and she is aware of what to be watching for. She will let me know if that does not seem to be working. We did talk about increasing that to a full 100 mg dose, if she finds the 50 mg dose is not working.

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,

Migraines rank as the number 7th leading cause of disability worldwide and affects an approximated 14% of the general population. In other words, a migraine is a headache on steroids. It is a primary headache disorder characterized by recurrent headaches that range anywhere between moderate to extremely severe. Typically, the symptoms associated with migraines include a pounding sensation in one half of the head, nausea, vomiting, and sensitivity to light, smell, and sound. Before a migraine comes on, approximately one-third of people experience what is called a migraine aura. A migraine aura is typically a short period of time accompanied by visual disturbances and can occur with little to no headache. When thinking of a migraine the first

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

Migraines are extreme, long-lasting headaches filled with throbbing pain to one side of the head. Many times, it can result in a person feeling as though they want to throw up; light and sound can further aggravate the problem.

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.

migraine headaches and are not active in the same respect in those who do not

Headache History – Your history with headaches and migraines can tell us a lot about how we can help you.

A migraine is a common type headache. In addition, migraines can cause moderate to severe pain and is often described as throbbing or pulsating pain on one side of the head. In addition, migraines can cause blurred vision when exposed to light and sound, nausea, and vomiting pounding.

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