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I had a severe headache yesterday with difficulty to speak

Questions and Topics We Can Help You To Answer:
Paper Instructions:

For this Discussion, you will take on the role of a clinician who is building a health history for one of the following cases. Your instructor will assign you your case number.

“I had a severe headache yesterday with difficulty to speak”
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.
Atrial Fibrillation, Hypertension. Is allergic to Non-steroidal Anti-inflammatory drugs Aspirin
Losartan 50 mg
Xarelto 15 mg BID
Feels Palpitations, joint pain with yesterday’s episode
Objective Data
B/P 131/80; temperature 98.2°F;  (RR) 18;  (HR) 84, irregular; oxygen saturation (PO2) 96%;
well-developed female, no acute distress
Atraumatic, normocephalic, PERRLA, EOMI, conjunctiva and sclera clear; nares patent, nasopharynx clear, good dentition.
CTA AP&L
Irregular heartbeat with normal rate
No tenderness normoactive bowel sounds x 4;
Noncontributory
intact without lesions masses or rashes.
No obvious deficits and CN grossly intact II-XII
Once you received your case number, answer the following questions:

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?

243 Words  1 Pages
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