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Initial Response
Instructions:
Case Study:
Ms. J is a 42-year-old Caucasian fema
Initial Response
Instructions:
Case Study:
Ms. J is a 42-year-old Caucasian female who presented to the ED with complaints of a throbbing headache that started yesterday and is increasing in severity. She denies a history of headaches. Denies changes in vision, dizziness, or trauma. Denies alcohol, illicit drug, or tobacco use. Ms. J ran out of amlodipine for her hypertension but had been taking her levothyroxine every morning, which she takes for hypothyroidism. She reports eating healthy and walking at least 30 minutes every day. The last cervical screening was 6 years ago and showed no abnormal findings. Her last menses was one week ago. On examination: VS 37.0 oral temp; BP 169/89, HR 65, RR 18, SpO2 100% RA with PERRLA, and EOM intact. Negative Brudzinski and Kernig’s sign. Negative pronator drift, HINTS exam, and no focal weakness observed. Headaches are not provoked by touching the face. The headache does not prevent her from sleeping or walking.
Prompts:
Create a problem representation for the case study and include all the following in your discussion.
Who is this patient, including demographics, epidemiology, and risk factors?
What is the clinical syndrome – signs and symptoms?
What is the difference between signs and symptoms?
What is the time course or pattern of the signs and symptoms?
What additional information would you want to know from this patient?
How would you facilitate communication to promote a participatory approach with this patient?
Pose two open-ended questions for your peers to respond to regarding questions you may have experienced researching the topic or required unit material.
Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer-reviewed journal evidence to support the student’s position.
Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.
Please review the rubric to ensure that your response meets the criteria.
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