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NR 499 Week 1 Discussion: Diagnosis – ALLERGIC PHARYNGITIS | GRADED A $10.99   Add to cart

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NR 499 Week 1 Discussion: Diagnosis – ALLERGIC PHARYNGITIS | GRADED A

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NR 499 Week 1 Discussion: Diagnosis – ALLERGIC PHARYNGITIS | GRADED A

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  • January 30, 2022
  • 11
  • 2021/2022
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Diagnosis: Migraine vs. Tension headaches
Physical
Signs and
Pathophysiology Assessment Pharmacologic
Symptoms
Summary Findings Recommendations
(subjective)
(objective)

Diagnosis
#1: The exact Each patient is Upon office After determining the
Migraines pathophysiology of different and may examination patient is experience
migraines is not fully experience assess headache: migraines there are
understood but various level of  Onset different treatment
based on symptoms. There approaches that can
researchers it is are four different  Duration help alleviate the
linked to abnormal phases that  Severity episode and pain. At
changes in the blood patient experience this point, the patient
flow and affects different  Frequency may be able to identify
specific brain symptoms: triggers that will help
structures. It is stated  Premonitory: 2  Location and avoid having migraine
that the following hours before quality of pain episodes. Avoiding
reaction occur during headache  If presence of triggers will help
a migraine attack: onset: aura identify adjustments
 Activation of symptoms patient might require in
trigeminal Changes in their lifestyles (diet,
vascular system mood and  Inquire any have extra snacks to
which involves activity known triggers avoid starving, make
meningeal Irritability sure they are sleeping
vasodilation,  Inquire impact enough, etc.). The next
neurogenic Fatigue on daily life approach would be

, inflammation and
central Food cravings Order lab test to medications that will
sensitization rule out any help alleviate the pain.
Repetitive underlying The following
(Parks-Chapman yawns
and Schub, 2018) conditions: medications are
Stiff neck recommended:
 Increases neural  CBC
activities spreads Phobia Mild migraines:
 BMP 1) NSAID: analgesic/
in the brain
initiating pain  Aura:  Urine analysis anti-inflammatory
stimuli in experience (Advil/Motrin/etc.)
trigeminal system, neurological  Drug test Mechanism of action:
which then deficits, fully Inhibits
reversible  Pregnancy test
conducted to the cyclooxygenase
thalamus and (visual, enzymes COX-1 and
pain centers in sensory, COX-2 which makes
the sensory speech/
an anti-inflammatory
cortex (Hubert & language,
and analgesic effect on
VanMeter, 2018) motor brain
stem, retinal the body.
 Reduction of 2) Acetaminophen:
serotonin in the Could be analgesic/
brain unilateral antipyretic (Tylenol)
Symptoms Mechanism of action:
 Release of “primarily inhibit the
neuropeptides may last 4-72
hours cyclooxygenase (COX)
(substance P,
enzyme, decreasing
vasoactive  Headache the synthesis of
intestinal attacks: last
polypeptide (VIP), prostaglandins, and
about 4-72
and calcitonin modulating pain and
hours with at
gene-related temperature”.
least 2 out 4
peptide (CGRP) characteristics (Candidio, Perozo &
in the meninges

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