NUR504-Neurological & Male Genitourinary Disorders

NUR504-Neurological & Male Genitourinary Disorders

You will take on the role of a clinician who is building a health history for one of the following cases.CASE STUDY:CHIEF OF 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.PMH: Atrial Fibrillation, Hypertension. Is allergic to Non-steroidal Anti-inflammatory drugs AspirinDrug Hx: Losartan 50 mg, Xarelto 15 mg BIDSubjective: Feels Palpitations, joint pain with yesterday’s episodeObjective DataVS: B/P 131/80; temperature 98.2°F;  (RR) 18;  (HR) 84, irregular; oxygen saturation (PO2) 96%;General: well-developed female, no acute distressHEENT: Atraumatic, normocephalic, PERRLA, EOMI, conjunctiva and sclera clear; nares patent, nasopharynx clear, good dentition.Lungs: CTA AP&LCard: Irregular heart beat with normal rateAbd: No tenderness normoactive bowel sounds x 4;Rectal exam: Non contributoryIntegument: intact without lesions masses or rashes.Neuro: No obvious deficits and CN grossly intact II-XIIThen 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?Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic source