Exam (elaborations)
human Case Bebe Babbitts 26 y/o female Reason for encounter: More frequent severe headaches
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human Case Bebe Babbitts 26 y/o female Reason for encounter: More frequent severe headaches
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1lOMoAR cPSD| 48182082
Ihuman Case Bebe Babbitts 26 y/o female Reason for encounter: More
frequent severe headaches
5’6’’ 122lbs
Reason for encounter: More frequent severe headaches
How can I help you today? – Ive been having these really bad headaches over the last few months. I
don’t have one now and haven’t had one in about a week, but I thought I’d have it checked out anyway.
Do you have any other symptoms or concerns we should discuss? – just the symptoms that I always
have had with these headaches, like nausea and vomiting
What symptom is the most distressing for you? – well, I can’t work or study when I have one of my bad
headaches, and I usually have to sleep the headache o昀昀. Its really messing with both my school and work
responsibilities. And I know this might sound crazy, but im afraid it might be something really serious,
you know. Like a slowly growing brain tumor
Dose anything make your HA better or worse?- it helps if I lie down in a dark room and try to sleep it o昀昀.
And de昀椀nitely light and noise make the pain worse
Do any food seem to bring the HA on? – well, I seem to get them more when ive been eating junk food
What does the pain in you head feel like? – throbbing
When more precisely is the pain in your head? – when I get a HA, its pretty much on the left behind my
eye
Does the pain in your head radiate someplace else? Where? – no it doesn’t move anywhere else
How severe (1-10) is your HA? – oh it’s pretty unbearable. When my HA starts, it’s a 2 or a 3 and it
becomes an 8 or even 10 when it really get going. I just cant do anything when I have one of my bad HA.
They can last up to 15 hours which means the entire day is shot
No HA at night
Sleep helps
How quickly dose your HA come on? – once its triggered, it steadily increases. Its not like a whack of the
head or anything.
Is there any pattern to when your HA occurs? – they usually happen when I haven’t been sleeping
enough. I have been having trouble with sleep and drinking more red wine recently given all my stress
Do you have any awareness or warning symptoms that occurs before the HA begins? – often my vision
in both eyes get blurry at the edges before the HA actually comes on. I can still see; its kind of like a thin
veil. My eyes otherwise okay; its not like they’re swollen or watering or anything. My vision is just
blurred. But that’s pretty much it
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What treatments have you had for you HA?- well, I haven’t really been seen by a doctor for this. I use
acetaminophen but by the time I take it. I can’t keep it down because I am so nauseated. Same with
ibuprofen. Acetaminophen and ibuprofen used to work but now they really don’t help
Can you tell me about any current or past medical problem you had? – not much to tell. The usually
childhood stu昀昀
Do you experience chest pain discomfort or pressure; pain with exertion or getting angry palpitation ?
– no
Do you have any allergies? – no
Are your immunization up to date? – I think they had to be in order to start grad school. I also got my
covid-19 vaccine series and annual 昀氀u shot
Have you had any signi昀椀cant traumatic injuries or accidents? – no I have not.. never been knocked out
or anything like that
Are you taking any prescription medications? – no
Are you taking any OTC or herbal medication? – sometimes Benadryl for sleep around 昀椀nals time. I take
acetaminophen or ibuprofen sometimes for some of my HA
Do you drink ca昀昀einated beverages or eat chocolate? – I like chocolate. Its my only real vice I guess.
Maybe I overdo it a bit
Do you drink alcohol? If so, what do you drink and how many drink per day? – every now and then I
have a glass of redwine at the end of my waitressing shift. Working parttime and being grad student can
sometimes be stressful. I usually have 2-3 glasses of wine a week; they maybe about 6 oz each
Do you use any recreational drugs? If so what? – maybe a little marijuana in the past, that’s all. Nothing
lately
Do you have new HA that you have not experienced previously? – not really. I have been having HA
every 1-2 months for the past 10 years, but the past few months theyre happening more frequently. Like
every 1-2 weeks, which is why I am here. The pain is also worse
Do you feel confused at times? – like, with my bad HA, not really
Do your HA occur when your ca昀昀eine intake change? – I don’t know. I don’t have that much ca昀昀eine on
a daily basis
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