Assignment: Neurological & Male Genitourinary Disorders
You will take on the role of a clinician who is building a health history for one of the following cases.
CASE STUDY:
CHIEF OF COMPLAINT "I had a severe headache yesterday with difficulty to speak"
History of Present Illness (HPI) A 64-year-old African American female who reports having a severe pulsatile diffuse headache yesterday with sudden difficulty to talk with last for about two hours. She did not seek medical attention. This morning she woke up with no problems but is here today due her husband advise.
PMH: Atrial Fibrillation, Hypertension. Is allergic to Non-steroidal Anti-inflammatory drugs Aspirin
Drug Hx: Losartan 50 mg, Xarelto 15 mg BID
Subjective: Feels Palpitations, joint pain with yesterday's episode
Objective Data
VS: B/P 131/80; temperature 98.2°F; (RR) 18; (HR) 84, irregular; oxygen saturation (PO2) 96%;
General: well-developed female, no acute distress
HEENT: Atraumatic, normocephalic, PERRLA, EOMI, conjunctiva and sclera clear; nares patent, nasopharynx clear, good dentition.
Lungs: CTA AP&L
Card: Irregular heart beat with normal rate
Abd: No tenderness normoactive bowel sounds x 4;
Rectal exam: Non contributory
Integument: intact without lesions masses or rashes.
Neuro: No obvious deficits and CN grossly intact II-XII
Then answer the following questions:
A. What other subjective data would you obtain?
B. What other objective findings would you look for?
C. What diagnostic exams do you want to order?
D. Name 3 differential diagnoses based on this patient presenting symptoms?
E. Give rationales for your each differential diagnosis.
F. What teachings will you provide?
Format your assignment according to the give formatting requirements:
1. The answer must be double spaced, typed, using Times New Roman font (size 12), with one-inch margins on all sides.
2. The response also includes a cover page containing the title of the assignment, the course title, the student's name, and the date. The cover page is not included in the required page length.
3. Also include a reference page. The references and Citations should follow APA format. The reference page is not included in the required page length.