WHAT ELSE DO I NEED TO KNOW?

2. WHAT ELSE DO I NEED TO KNOW? (1000 words max)
• What further information is required for anxious because of severe headache?
• What other assessments/investigations need to be performed or recommended in order to roll out the margarine or meningitis or brain tumour?
• What aspects of the patient’s health history need further information to inform the comprehensive clinical assessment?
Patient’s health history are the following.
49-year-old woman. Works in a law firm as a receptionist.
• Presents to an emergency department at 3pm by taxi
• with a 3-day history of severe headache and nick stiffness started 10/ 10 score
• gradually and constant in frontal area
• No previous history of migraine.
• Otherwise healthy and well.
• Mrs Bellamy is married with no children and she is menopause.
• her husband is away on business until tomorrow afternoon.
• No regular medications. Has taken Tylenol (acetaminophen 500mg x 2 – US equivalent to paracetamol) and Motrin (Ibuprofen 200mg) on several occasions with no effect.
• Most recently together at 11am this morning.
• Allergies – Nil known
• Headache getting worse with movement.
• Vomiting twice today
• Worried about getting same situation as her neighbor getting headach and ignore it lead to seizure and tumor.
• Pain impacting hear activety of daily living.
• Having well diet control HTN with medications.
• No history of surgery.
• Mom got migraine at 20- 3- age & dad got HTN
• Smoke half becket daily & no alcohol.
• Observations
• BP 155/80, HR 90, Temperature 38.1°C
3. WHAT DOES THIS ALL MEAN? (500 words max)
• Overall clinical impression – based on above, students need to describe what they consider is going on with the patient?
• Provide details about the understanding of what is happening to the patient based on the clinicalpression (consider and include both mental and physical considerations).
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