6. Loss of subcutaneous tissue can reduce the ability of older adults to regulate body temperature, leading to an increased risk for __hypothermia____.…
The patient in this case study is suffering from a common migraine. I arrived at this diagnosis by correlating her symptoms with those that characterize common and classic migraines. The patient complains of a “pounding and throbbing” headache with pain that is unilaterally localized to her right temple and associated neck pain. Having been diagnosed with migraine headaches since the age of 9, with the preset migraine being the third one in the past month, the patient has exceeded the five-episode minimum required for a common migraine diagnosis.…
| CNS: dizziness, vertigo, paresthesias, weakness, headache, drowsiness, fatigue, blurred vision. Hearing lossCV: orthostatic hypotension, thrombophlebitisDermatologic: photosensitivity, rash, urticariaGI: nausea, anorexia, vomiting, oral and gastric irritation, constipation.GU: urinary bladder spasm, polyuria, glycosuriaHematologic: Leukopenia, anemia, thrombocytopeniaOther: muscle cramps, muscle spasms…
Throughout my family history many of my family members have bean diagnosed with migraine headaches so I have quite an idea of what these “patients” are going through, seeing as I am one of them. These migraine headaches are extremely painful and can take you away from normal activities such as going outside because the bright light, watching TV because of the noise, or even just studying because of the nerves and other things inside your brain that can have an affect on the migraine. Many treatments have been prescribed to chronic migraine sufferers in my family, but everyone still has yet to find one that has worked efficiently. This is a problem that needs to be fixed. That is one of the main reasons that I plan to pursue my career in becoming a neurosurgeon. The fact that I am a migraine sufferer has an enormous…
• “I’m having a migraine”: Proceed with a neuro assessment, pain scale, ask them what the typical course of the…
Patient is 63-year-old right-handed white female who presents with her husband for evaluation of an unusual headache followed by hallucinations. She does have a history of migraine headaches with aura. These started over 20 years ago. At that time, she had a negative workup, including a negative CAT scan. Her headaches usually start with biperipheral scintillating scotoma, which in itself can be debilitating because it significantly disrupts her vision and makes it difficult for her to remain at work. This is followed often by numbness and tingling in her arms and word finding problems, especially when her headache is severe. The headache itself is mild to moderate. She sometimes takes Advil for it. She has tried using triptans in the past without any relief. She usually has to go to bed at night and sleep and then the next morning she is fine. She did have a severe headache at work, less than 10 years ago with a prolonged speech problem. She had a CAT scan at that time, which was negative. This summer, she has been up from Florida visiting family in Maine, New Hampshire, and Vermont. Since she has been up here, her sleep-wake cycle has been disrupted. She is going to bed later at night and waking up earlier in the morning. She noted that two months ago, she had her typical migraine with a brief visual numbness, tingling and aphasia auras. However, one month ago, at Bridge, she will realize she was having some…
A “Chronic Headache” is a headache that occurs 15 or more days in a month [3]. Chronic headaches may not be fully cured but can be well managed and controlled using various clinical and non-clinical methods [39]. Different types of headaches [64] have different symptomatic characteristics [3]. Individuals may have single or multiple types of chronic headaches at the same time. A headache attack occurs due to changes in the headache patient’s “internal” and/or “external” environment [31]. An example of internal change can be the abrupt decline in estrogen (a hormone) levels occurring with menstruations, whereas example of an external change can be the effect of weather changes. “Headache trigger” is a commonly used term to label any such “internal”…
Elderly health assessments are important ways to see the patients overall health. Elderly patients can have hearing loss, so it’s important that we sit in a manner that the patient can’t see and hear us well. Sometimes a patient with vision or hearing loss can be inaccurately taken as a possible sign of altered mental status. Getting the patient’s health history and familial history is something that helps us to assess their health as well. Then a comprehensive assessment from head to toe on the patient can help us discover the patient’s real health issues. Elderly patient’s physical appearance, just like any other patient, can tell a detailed story of their health. Signs of undernourishment, further problems with skin, issues with bones/joints, and issues with heart/lungs should all be addressed in the assessment. One of the more common ailments among the elderly and maybe one of the harder things to assess for is depression. Often time’s elderly adults are undertreated and depression may be misconstrued as a reaction to life changes or the natural process of aging, but it’s a treatable diagnosis. Some elderly people don’t believe in depression therefore may not seek out help, but education for these people may end up greatly improving their quality of life (CDC, 2015). Thoroughly assessing the patient can lead us to understanding their full health needs and being able to facilitate what they need. It’s important that we understand the aging process and how important it is for each patient to resume their ADL’s as best they can.…
Headache is pain that is one of the most common illnesses. Anyone regardless of age and gender They can influence them. Headaches could happen on one or both sides of the head. Their pain being above the eyes or the ears, behind the head (occipital), or in the back of the upper neck[1]. All headaches are considered primary headaches or secondary headaches[1]. Primary headaches are not associated with other diseases[1]. An example of primary headache is Migraine Headache[1]. Then secondary headaches such as Sinus Headache are caused by other diseases[1]. The associated disease may be minor or major[1]. As headaches can be a symptom of a serious condition, it is important to look for medical advice if headaches turn out to be more serious, constant or frequent. [2]. For instance, if the headache is more difficult and troublesome than past headaches, exacerbates or fails to improve with prescription or is joined by different indications, for example, confusion, fever, sensory changes and stiffness, a medicinal services give ought to be contacted[2].…
Symptoms • • • • headache visual disturbances epigastric or RUQ discomfort edema/rapid weight gain…
These headaches can be treated through over-the-counter pain medication, such as aspirin and ibuprofen, or neck and shoulder massages.…
“A Headache is defined as a pain in the head or upper neck. It is one of the most common locations of pain in the body and has many causes. Headaches have numerous causes, and in 2007 the International Headache Society agreed upon an updated classification system for headache.”(1) Because so many people suffer from headaches and because treatment sometimes is difficult, it is hoped that the new classification system will allow health care practitioners come to a specific diagnosis as to the type of headache and to provide better and more effective treatment.…
visual disturbances – such as flashing or flickering lights, zigzag lines, blurred vision, temporary blindness…
| A chronis eye disease that causes vision loss in the center field of vision.…
We asked Dr. Elizabeth Loder, chief of the Division of Headache and Pain in the Department of Neurology at Brigham and Women's Hospital, to dissect seven common headache scenarios and their triggers...…