Based on RD having at least two of the symptoms to diagnose, I feel tension headache is the most appropriate diagnosis. DIFFERENTIAL DIAGNOSES:Migraine HeadacheCluster HeadacheTemporal arteritisCaffeine dependencyHead traumaRD denies pain on only one side of head. The pain is not throbbing or pulsing, and he is not sensitive to light. He denies nausea or vomiting. This would rule out a migraine headache. Cluster headaches typically strike quickly and the patient will experience blurred vision, pain is usually one-sided. The patient is usually restless and has a drooping eyelid. The patient will also experience excessive tearing, forehead and facial sweating. RD did not have any of these symptoms; therefore, this diagnosis is ruled out.
NURS 6512 N-6 WEEK 9 MAIN DISCUSSION POST6Temporal arteritis usually causes double vision, vision loss, fatigue, weakness, and loss of appetite. The patient will typically run a fever and have weight loss. Based on these symptoms, which RD did not have, this dx is ruled out. RD denies having irritability or high blood pressure and he does not drink soft drinks. I do not think RD is suffering from caffeine withdrawal. RD denies having any head trauma, so this would omit a diagnosis of head trauma. He is also notexperiencing mental confusion, not repeating words or actions, denies balance problems, and does not have slurred speech. LABS/DIAGNOSTIC EXAMS:CBC with differential: to detect major blood dyscrasias, and hypoxiaBlood Cultures: check if patient has a fever, headache, nuchal rigidity or altered mental statusCT: used to detect intracranial disease and should be done in new onset severe headache or headache associated with abnormal neuro signsMRI: 1stchoice for brain abscessLumbar Puncture: measures CSF pressure; perform is CNS infection is suspectedESR (erythrocyte sedimentation rate): increased in presence of inflammation; perform if temporal arteritis is suspectedSkull Radiograph: useful in posttraumatic headache
NURS 6512 N-6 WEEK 9 MAIN DISCUSSION POST7ReferencesHerndon, J., & McCrea, M. (2016). Temporal arteritis. Retrieved from Mayo Clinic. (2016). Cluster headache. Retrieved from -conditions/cluster-headache/symptoms-causes/dxc-20206299Mayo Clinic. (2016). Migraines. Retrieved from -conditions/migraine-headache/symptoms-causes/dxc-20202434Medline Plus. (2016). Head Injury. Retrieved from WebMD. (2016). Caffeine myths and facts. Retrieved from -myths-and-facts
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- Summer '15
- Headaches, denies, Denies eye pain, hernias. Denies penile