NRP571 Week 1 | Nursing in Health Care - University of Phoenix

3. What treatment will you start now?

Case Study 3 A 32-year-old white female is concerned with increasing migraines and vision disturbances with vertigo over the past three months. She denies any head injuries or LOC, has never had migraines before, and usually headaches resolve with just rest. For current headaches, she needs to go to sleep and take OTC analgesics which sometimes help. She does not have a headache at this visit. She reports having a similar incident that lasted 5 weeks 2 years ago while in Colorado visiting family. No test was done then, and she never found out what caused it. PMHx: None Medications: Excedrin Migraine SH: Single, non-smoker, denies alcohol or drug use VS: T: 98.6 BP 118/72 HR 90 R 16 o2 sats 100% Pain scale 1/10 Gen: Pleasant WF NAD HEENT:PERRLA, Fundoscopy no papilladema, cup:disc ratio 2:1 no AV nicking. Neuro: CN II-XII grossly intact, Romberg was positive. MS: FROM all extremities, DTR's 2 + with positive Babinski right foot. You are referring to a neurologist and they have requested imagining before seeing her.