Neurological & male genitourinary disorder discussion

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Neurological & Male Genitourinary Disorders

For this Discussion, you will take on the role of a clinician who is building a health history for the following case

Chief Complaint- “I have been having frequents headaches lately”

History of Present Illness (HPI)- A 25-year-old Hispanic female presents to your clinic with a headache located on right temporal area, pulsatile.

Primary Medical History- Frequent headaches since I was 15, with menses

Medication Use- Ibuprofen for Headaches

Subjective Data- Light makes headache worst Nausea associated with headaches. No vomiting, Headaches improve usually with rest, ibuprofen, and sleep, but it is annoying to have to sleep all-day

VS- B/P 108/64; Pulse 86; RR 16; Temp 98.6;

General- 25-year-old female appears well developed and well-nourished, healthy appearing, wearing dark glasses in a dim room

HEENT- no injection, anicteric, PERRLA, EOMs intact, without pain to movement; normal vision

Lungs- CTA AP&L

Cardio- S1S2 without rub or gallop

Abd- benign, normoactive bowel sounds x 4;

Rectal Exam- noncontributory

Integumentary- intact without lesions masses or rashes.

Neuro- Cranial nerves II to XII intact; sensation intact, DTRs 2+ throughout.
Functional neurological exam is WNL

What other subjective data would you obtain?

What other objective findings would you look for?

What diagnostic exams do you want to order?

Name 3 differential diagnoses based on this patient presenting symptoms?

Give rationales for your each differential diagnosis.

What teachings will you provide?

*post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. 

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