I-Human Week 6 Notes Kathleen Parks Case Study of Headache Complaint 2025

I- Human Week #6: Kathleen Parks -headache complaint What happened? I had really bad headaches for a few months associated with nausea and vomiting. I do not have a headache; it's been a week since the last one. It negatively affects her school and work responsibilities when she has a bad headache and sleeping it off helps. HPI: denies contact with sick people; mother had headaches like hers for years Headaches for about ten years, • Onset: “When did this start?” I started ten years ago getting headaches every 1-2 months, but in the last few months, they have been happening more frequently, like every 1-2 weeks. Also, the intensity is increased. It has gotten worse over the last few months. • Location: “Where did the problem start; does it move anywhere?” left side behind the eye and does not radiate • Duration: “How long does the problem last or is it constant?” they can last up to 15 hours, so the whole day. Increased in frequency lately • Characteristics: “Can you describe what the problem feels like?” Intense, throbbing headache. Not constant, it comes and goes. Before a headache occurs, her vision often gets spotty; it is zig-zaggy with flashing lights. • Aggravating Factors: “Does anything make it worse?” Light and noise, stress • Relieving Factors: “Does anything make it better?” It helps lying down in a dark room and sleeping it off. Sleeping it off in a dark room helps • Treatments: “Have you taken any medications or nonpharmaceutical treatments for this problem?” Tylenol and Acetaminophen are not helping and can’t keep the medication down from the nausea. • The severity of the Symptoms: “How bothersome is this problem?” When the pain starts, it’s 2-3 and becomes unbearable 8 or even 10 out of 10. It affects her schoolwork and her employment ROS: General: A&Ox3 denies generalized weakness or stiffness, fevers, fatigue/tiredness, contact with sick people, weight gain or loss, change in appetite, generalized bruising or bleeding, and sleep disturbance. Head: Denies current headache, head trauma Eye: complains of light sensitivity, spotty vision, and zig-zag flashing lights before headache occurs Denies eye pain, dry or itchy eyes, or loss of vision Ears: denies ear pain, hearing changes, ringing in ears Nose: denies nose bleeds, Throat: denies bleeding gums, mouth lesions, runny nose/nasal congestion. Neck: denies neck pain, stiffness, swollen lymph nodes, Cardio: denies elevated blood pressure, chest tightness, heaviness, or pain. Respiratory: denies SOB, wheezing, and cough. GI: complains of nausea and vomiting with intense headaches, Denies problems with diarrhea or constipation, GU: denies problems with periods,