Family History Are there any immediate family members (parents, siblings) who have been diagnosed with any medical conditions or chronic diseases? Have any family members been diagnosed with migraines or chronic headaches, specifically among females? Other Do you consume caffeine regularly or in large amounts? Have you experienced any recent significant life events, such as, loss of a loved one? Have you been under increased stress or pressure lately, either academically or personally? Are you getting enough restful sleep at night? What physical examinations would you include? Case Study For Neurological Assignment Paper

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Body System	Include?    (yes) or – (not indicated)	Notes
General survey		Assess if the patient is in pain, respiratory distress and take vital signs.
HEENT (head, eyes, ears, nose, throat/thyroid)
Cardiovascular		Auscultate heart sounds (stethoscope to actual skin)
Peripheral Vascular
Breasts
Lymphatic
Pulmonary		Auscultate lung sounds (stethoscope to actual skin) – anterior and posterior
Gastrointestinal/Abdominal
Genitourinary/Pregnancy
Integumentary
Musculoskeletal
Neurological

 

1. What are pertinent positive physical assessment findings?

Unavailable

1. What are the pertinent negative physical assessment findings?

Unavailable

1. What are at least 3 differential diagnoses (use Up-to-Date App if needed)?

• Migraine
• Tension-type headache
• Cluster headache

1. What is your primary diagnosis?

Migraine.  There is a positive family history of migraines. Migraines typically present with recurrent, moderate to severe headaches accompanied by symptoms such as nausea, sensitivity to light and sound, and often affect one side of the head.

1. What is your treatment plan? Case Study For Neurological Assignment Paper

• Diagnostic procedures: Imaging studies- Given the clinical presentation and suspected underlying causes, imaging modalities such as computed tomography (CT) scan or magnetic resonance imaging (MRI) of the head may be ordered to rule out structural abnormalities, tumors or other conditions that could be causing the persistent headache.
• Labs: Complete blood count, Erythrocyte sedimentation rate or C-reactive protein, Thyroid function tests, Electrolyte levels, Liver and kidney function tests, and Urinalysis. Lumber puncture to analyze the CSF for signs of infection, inflammation or other abnormalities.
• Client education (including lifestyle modifications, if applicable)

I would teach the patient on identifying her specific headache triggers and provide guidance on managing the the triggers to minimize headache occurrence.

I would also educate the patient about the importance of staying hydrated and maintaining a balanced diet. Encourage them to drink enough water throughout the day and avoid skipping meals. Emphasize the benefits of a nutritious diet that includes fresh fruits, vegetables, whole grains, lean proteins, and limited processed foods

• Pharmacotherapy (including complementary and alternative therapies)

Medications such as Triptans which are specifically used for treating migraines. They work by constricting blood vessels and blocking pain pathways in the brain (Yang et al., 2021)Case Study For Neurological Assignment Paper. Examples include Sumatriptan (Imitrex). I would also recommend NSAIDs like ibuprofen, which can provide relief for mild to moderate headaches.

Complementary and alternative therapy include Biofeedback which involves using electronic devices to monitor and control physiological responses to stress. Another technique would be acupuncture as some studies have shown that it is effective in reducing the frequency and intensity of headaches.

• Health promotion (preventative care, anticipatory guidance)

I would advise the patient to practice stress management techniques such as deep breathing exercises, yoga, progressive muscle relaxation, or engaging in hobbies and activities that help promote relaxation (Stubberud et al., 2021). I would advise her to find healthy stress coping mechanisms and stress management strategies. I would each her on