A 20-year-old male complains of experiencing intermittent headaches. The headaches diffuse all over the head, but...

A 20-year-old male complains of experiencing intermittent headaches. The headaches diffuse all over the head, but the greatest intensity and pressure occurs above the eyes and spreads through the nose, cheekbones, and jaw.

Provide evidence from the literature to support diagnostic tests that would be appropriate for each case. List five different possible conditions for the patient's differential diagnosis, and justify why you selected each.

Solutions

Expert Solution

To support diagnistic test :

Sinus headache and tension headache is believed in such case. Sinus headache: when sinus become inflamed, usually as a result of alergic reaction, the inflammation may cause localised pain.

The may include for sinus headache are .x ray indicates that having any sinus issue, it can be possible by using CT scan and MRI.

Electroencephalogram is also an other option for the further diagnosis.

In case of tension headache: tension headache are due to tight muscle in your shoulder, neck and scalp and jaw. CT scan , MRI, blood chemistry spinal tap and eye pressure to rule out any glaucoma condition. Is such an option for diagnosis.

As differential diagnosis of such headache :

Trigeminal cephalgia, Cluster headache , chronic daily headache Hypertension, Orthostatic chronic daily headache.

Trigeminal nerve affection leads to trigeminal cephalgia bacause of nerve connection, neck and cephalic region.

Chronic daily headache due to sinusitis and tension. Pain may originate any cephalic region but in low standard.. slowly become severe.

Hypertension originate because of pressure. May stresses to heart , eyes and other veins then affects blood circulation as usual.

Orthostatic chronic daily headache suggest a low CSF pressure headache. Generally found in CSF leak, previous lumber puncture.

Nightingale answered 1 year ago

Next > < Previous

Related Solutions

1. A 20 year old male complains of sudden onset shortness of breath at 24 times...

1. A 20 year old male complains of sudden onset shortness of breath at 24 times per minute and his pulse aximetry is 85% aCoach him on slowing his rate of respiration bApply oxygen via nasal cannula at 4lpm - correct cAdminister oxygen via nonrebreather mask at 15lmp dVentilate the patient at a rate of 12 breaths per minute 2.A thin 75 year old male complains of difficulty breathing. He states he has smoked "3 packs of cigarettes a day...

Your patient is a 23-year-old female with a history of headaches. This morning she was experiencing...

Your patient is a 23-year-old female with a history of headaches. This morning she was experiencing a really bad headache as her boyfriend was driving her to the university. He thought she was sleeping and by the time they got to the school, 45 minutes later, she was not waking up. She was diagnosed with a cerebral aneurysm and you are taking care of her in the Neurological ICU. What testing do you expect to be performed to diagnose brain...

A 38 year old male complains of fatigue by the end of the day. He has...

A 38 year old male complains of fatigue by the end of the day. He has experienced these symptoms for several months now. Recently he has noticed numbness and tingling in his feet. His labs reveal an RBC (2.9 L), HGB (11.0 L), HCT (32.4 L), MCV (111.2 H), and MCH (37.2 H). Which follow up testing would you recommend to confirm deficiency? What type of anemia does this client have? How do you explain the neurological symptoms? What dietary...

Mr. Bassen, a 55-year-old male has been experiencing a rapid, strong, and irregular heartbeat over the...

Mr. Bassen, a 55-year-old male has been experiencing a rapid, strong, and irregular heartbeat over the last twelve hours. Over the last four hours, he has been experiencing chest pain that has become even more severe over the past hour prompting him to call 911. He describes the pain as localized pressure behind his sternum and he is having trouble breathing and is experiencing nausea. His medical history includes untreated high blood pressure and daily tobacco and alcohol use over...

4. A 32 year old patient in her 6th month of pregnancy complains of experiencing tingling...

4. A 32 year old patient in her 6th month of pregnancy complains of experiencing tingling and loss of sensation of the first three digits of her right hand. Further examination shows deficits of both pain and touch, a weakening of the muscles and diminished stretch reflexes of the affected area. What is the site of the injury (include cervical, lumbar, thoracic, or sacral) if located in the spinal cord? - Is lesion bilateral or unilateral?

A 59-year-old man with headaches, double vision, dizziness, and ataxia Chief Complaint A 59-year-old, right-handed male...

A 59-year-old man with headaches, double vision, dizziness, and ataxia Chief Complaint A 59-year-old, right-handed male was admitted to the hospital with a chief complaint of occipital headaches of 4 days duration. History of Chief Complaint Three days prior to admission, the patient noted a sudden onset of diplopia on forward gaze and a sensation of dizziness. These complaints resolved within twenty-four hours. He experienced several episodes of dizziness and diplopia over the next 24 hours. One day prior to...

A 35-year-old male, married with 3 children, has experienced headaches and palpitations of increasing frequency and...

A 35-year-old male, married with 3 children, has experienced headaches and palpitations of increasing frequency and severity over the past six months. He has also had periods of intense anxiety and panic attacks. His wife has noted that his face is often pale and that he sweats more, although he feels chilled. Recently, he fainted upon standing up quickly. Examination of the patient revealed a pulse rate of 112 with a BP of 160/92. What endocrine pathology would cause all...

A 28-year-old soldier returns from Iraq and begins experiencing periodic bouts of anxiety. She complains that...

A 28-year-old soldier returns from Iraq and begins experiencing periodic bouts of anxiety. She complains that she wakes up frequently and cannot get a full night of sleep. Recently, she also has been getting frequent headaches and noticed a few ulcers in her mouth. A physical examination and lab tests do not reveal any local or systemic disease. 1. Based on the patient history and the signs and symptoms, discuss how stress is related to her condition. (See Stress and...

A 48-year old male complains of severe epigastric pain that is worse after eating x 3...

A 48-year old male complains of severe epigastric pain that is worse after eating x 3 weeks. Symptoms are accompanied by nausea but the patient denies vomiting or diarrhea at this time. Reports stools as “normal” in color and consistency. Discuss what questions you would ask the patient, and what physical exam elements you would include.

A 37-year-old male with a history of anxiety presents to urgent care hyperventilating and experiencing chest...

A 37-year-old male with a history of anxiety presents to urgent care hyperventilating and experiencing chest pain. The symptoms started in response to an unexpected increase in his job responsibilities to begin on Monday. The patient is a single father and is fearful about not being able to perform, losing his job, and being unable to support his children. After an examination and ECG are performed, the symptoms are diagnosed as a panic attack. Patient is prescribed Sertraline daily and...

Subjects