Discussion paper

User Generated

Fgurcunavr

Health Medical

Description

Hi please fallow instruction. I need you to answer the fallowing questions and to write a Discussion paper about the diagnosis, sign and symptoms, what diagnostic tests, lab work and treatment and education using the latest evidenced based guidelines. I need it in APA format with at least 5 references no older than 5 years.) FYI I already provide you with the scenario, primary diagnosis which is: Domestic Violence/ Intimate Partner and 3 differential diagnosis: Migraine Headache, Tension Headache and Cluster Headache. Just discuss, describe and explain the reasoning for each.

Scenario

Chief complain.

Headache

History of present illness

Ms. Erin Davis is a 20-year-old woman who presents alone to the emergency department with a headache, Scale of the pain in the head is 6 out of 10, that relieve with acetaminophen and ibuprofen for headache. She has no associated fever, vomiting, neck pain, or other neurologic complaints. This headache is not atypical for her. Additional psychosocial history is notable for her estrangement from her mother, current unemployment, and financial dependence upon her boyfriend. She admits to incidents consistent with her being the victim of her boyfriend's violence. The physical exam shows no evidence of head trauma; her neck is supple, the neurologic exam is normal. Two bruises of different ages are noted per examination - one on her left arm and a second on her left breast. Occupation: unemployed, living with her boyfriend in his studio apartment, she is not working since her boyfriend doesn’t make Substance use: smokes ½ PPD tobacco; no alcohol or illicit-drug use

Answer the following questions:

  • 1)Discuss the questions that would be important to include when interviewing a patient with this issue.
  • 2)Describe the clinical findings that may be present in a patient with this issue.
  • 3)Are there any diagnostic studies that should be ordered on this patient? Why?
  • 4)List, Discuss and describe the primary diagnosis and three different differential diagnosis and explain the reasoning for each diagnoses for this patient.
  • 5)Discuss your management plan for this patient, including pharmacologic therapies, tests, patient education, referrals, and follow-ups.

Primary diagnosis:

Domestic Violence/ Intimate Partner

Differential diagnosis

Migraine Headache

Tension Headache

Cluster Headache.

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Explanation & Answer

Attached.

Running head: DISCUSSION PAPER

Health and Medical

Name of Student

Name of Institution

12 December, 2017

DISCUSSION PAPER
Enquiries that would be significant to include when cross-examining the patient

The vital questions to take in when questioning a patient with headache must include the
patient’s past and corporal encounters. A comprehensive medical history, aversions, and the
present medications are key rudiments to include. Questions concerning the symptoms of the
complaint would also be indispensable in the determination of the harshness of the diseases
(Minowa, Suzuki & Fujino, 2013). A nurse practitioner can ask unknown if there was the presence
associated fever, nausea, neck pain, or additional neurologic complaints. Before commissioning
the examinations, consent require to obtained.

Some samples of questions include:

·Why are you seeing help at current time?

·Are you suffering from any pain?

·Please label your discomfort a scale of 0 to 10

·How you possibly will define the pain?

·Did the pain emit and if it is the instance, where?

·When the pain happened?

·Any prompts, anything that make it restored or worse?

·Please designate other symptoms or signs that are presenting

·Are you being tangled in recent forceful activity?

DISCUSSION PAPER
Possible clinical findings

Clinical discoveries that may be existing in a patient with headache, tension headache,
cluster headache. Out client has the physical exam showing no evidence of head trauma; her neck
is lithe; the neurologic assessment is normal. But there are two bruises of different ages which
were noted per examination which are one on her left arm and the second one on her left breast.

Diagnostic studies
Diagnostic studies that must be methodical on the patient are:
You have 4 or more headaches without an aura or 3 headaches associated with an aura.
The headaches last from 5 to 48 hours with no treatment.
You are experiencing nausea, you vomit, or the headache gets much worse when you're around
noise or light.
Primary and differential diagnoses
CT or MRI scan. These imaging assessments may be cast-off to look for bleeding or tumors in
the brain. But several headaches are not caused by anything much serious, so you can probably
would not need to have t...


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