MORE FREQUENT SEVERE HEADACHES LOCATION:
OUTPATIENT CLINIC I-HUMAN CASE WEEK #9 LATEST
2025! Here is the History section for the i-Human
Week #9 case: 26-year-old female with frequent severe
headaches a
,Patient Introduction
The patient is a 26-year-old female who presents to the
outpatient clinic with complaints of increasingly frequent and
severe headaches over the past three months. She reports that
she previously experienced occasional headaches, but they have
now progressed to occurring two to three times per week. The
headaches are described as throbbing, unilateral, and most
commonly affecting the right temporal region. Each episode
lasts several hours to a full day if untreated and is associated
with nausea, photophobia, phonophobia, and intermittent
visual disturbances (flashing lights) prior to headache onset).
She reports that the headaches are worsened by physical
activity and bright light and partially relieved by resting in a
dark, quiet room. Over-the-counter ibuprofen provides
minimal relief. She denies fever, neck stiffness, weakness,
numbness, speech changes, syncope, recent head trauma, or
recent illness. She identifies stress and sleep deprivation as
common triggers. No recent changes in caffeine intake, and she
is not pregnant.
Her past medical history is notable only for occasional
episodic headaches. She takes no regular medications aside
from as-needed ibuprofen and reports no drug allergies. Family
history is significant for migraine headaches in her mother, with
no history of stroke, seizure, or brain tumor.
The patient works full-time in a high-stress environment, sleeps
5–6 hours per night, consumes alcohol occasionally, and denies
tobacco or illicit drug use. Her menstrual cycles are regular, and
she uses oral contraceptives.
, Chief Complaint
“Lately my headaches have been getting more frequent and
more severe.”
History of Present Illness (HPI)
The patient is a 26-year-old female who presents to the
outpatient clinic with complaints of increasingly frequent and
severe headaches over the past three months. She reports that
she previously experienced occasional headaches, but they have
now progressed to occurring two to three times per week. The
headaches are described as throbbing and unilateral, most
commonly affecting the right temporal region.
Each episode lasts several hours to up to one full day if
untreated. The pain intensity is rated 8/10 at its worst and is
severe enough to interfere with daily activities. The headaches
are associated with nausea, photophobia, and phonophobia.
She occasionally experiences visual disturbances described as
flashing lights prior to headache onset.
The patient reports that headaches are worsened by physical
activity and bright light and are partially relieved by resting
in a dark, quiet room. Over-the-counter analgesics such as
ibuprofen provide minimal relief. She denies fever, neck
stiffness, confusion, weakness, numbness, speech difficulty,
syncope, head trauma, or recent illness.