Select Page

Learning Goal: I’m working on a nursing case study and need an explanation and answer to help me learn.
For this Discussion, you will take on the role of a clinician who is building a health history for one of the following cases.
Case 2
Chief Complaint
“I had a severe headache yesterday with difficulty to speak
History of Present Illness (HPI)
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
Drug Hx
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.
Irregular heart beat with normal rate
No tenderness normoactive bowel sounds x 4;
Rectal exam
Non contributory
intact without lesions masses or rashes.
NeuroNo 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?
Submission Instructions:
Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources WITHIN 5 years