ASSESSING NEUROLOGICAL SYMPTOMS 1
Subjective &Objective: A 20-year-old male complains of recurring intermittentheadaches, which appear to diffuse all over his head, but with highpressure and intensity that occurs above his eyelids and goes throughthe cheekbones, nose, and jaw. The kind of history necessary from thepatient would involve examining her health over the past two weeks,which will include migraine headaches, depression, hypertension ordiabetes. It would also be important to collect her family`s healthhistory, review of his health systems, and general physicalexamination. There are also physical exams and diagnostic tests thatare crucial for purposes of gathering the right information about thepatient. These include the examination of his blood pressure,temperature, and pulse. Diagnostic tests will involve his mentalstatus, cranial nerves, and motor. The results would be used to makea notable diagnosis by connecting with the closest diagnostic healthcondition.
Assessment: Because the patient has an isolated palsy thirdnerve with an additional orbital abnormality and cranial nerves, thepatient is also likely to be diagnosed with lesion situated to thenerve. Additionally, ophthalmoplegic migraines is also a seriousdiagnosis provide the history of a migraine with the aura, even whenthe recent headaches is different from his regular headaches withother diagnoses including photophobia and nausea/vomiting (Hickey,2009). The presence of lesions diagnosis is a possible reason formigraines, but again explains hypertension and vasculopathy diagnosis(Armitage, 2015). The diagnosis reveals that the patient has no riskissues with a vascular condition, but there would be a hugepossibility with a genetic disorder, for example, CADASIL.
Plan: Due to a recurring headache, the patient will undergo atrial involving 400 mg po bid, and when this proofs to beineffective, narcotic analgesia will have to be complete. Larner(2014) noted that the occurrence of migraines will warrant the use ofthe prophylactic agent. Secondly, evidence of depression will requirethe patient to be prescribed with Zoloft of the current dose. Becauseof his likely diagnosis of the nerve palsy, the patient will beneeded to undergo what Burton (2013) identifies has a cerebralangiogram because the patient will be informed of the risks of thewhole procedure.
Armitage, A. (2015). Advanced practice nursing guide to theneurological exam. UK: Wiley-Blackwell/BMJ Books.
Burton, C. (2013). ABC of medically unexplained symptoms.Chichester, West Sussex, UK: Wiley-Blackwell/BMJ Books.
Hickey, J. V. (2009). The clinical practice of neurological andneurosurgical nursing. Philadelphia: Wolters KluwerHealth/Lippincott Williams & Wilkins.
Larner, A. J. (2014). Dementia in Clinical Practice: ANeurological Perspective. Dordrecht: Springer.