NURS 680 B week 4-A 54-year old woman complain of left side drooling and facial drooping since earlier this morning. Case Study.

Identifying data: Patient C DOB: 7/28/1966 MR# Source and reliability of history: 54-year-old female, reliable historian. Demographics: • Gender: Female • Age: 54 • Marital status: N/A • Ethnicity: N/A • Social/occupation: N/A S: Subjective A 54-year old woman complain of left side drooling and facial drooping since earlier this morning. CC: Left side drooling and facial drooling since early this morning. HPI: Onset: When did it start? What were you doing when this episode occurred? Last time seen well? Location: Left side of face, does it radiate anywhere else? Duration: Since earlier this morning, have you experience these symptoms before? Characteristic: Left side drooling and facial drooping. Any other symptoms? Aggravating factors: Is there anything that makes it worse? Relieving factors: What have you tried to relieve your symptoms? Treatment: Have you taken any medication? If so, what medications did you tried? Have you tried any other treatment? Did it help? How long did you take it? How frequent? Severity: Any loss of sensation? Affecting any other parts of the body? PMH: • Childhood Illnesses: Did you have any childhood illnesses? • Surgical History: Any surgeries? • Hospitalizations/Accidents/Injuries: Have you had any hospitalizations, accidents, or injuries? • Transfusions: Any previous blood transfusions? Sexual history: • Number of sexual partners- How many sex partners have you had? • Sexual orientation – What is your sexual preference? • History of sexual transmitted infections- Any history of STI’s?