(Class 6512) Reason For Encounter; More
Frequent Severe Headaches Location;
Outpatient Clinic Case Study 2025 • Location:
Outpatient clinic • Reason for Encounter: More
frequent severe headaches Patient(Gerald W.
Smetana)
,
,
, HISTORY
Here’s a summary of the History for the 26-year-old
female iHuman Case (Week #9, Class 6512):
Chief Complaint (CC):
"More frequent and severe headaches."
History of Present Illness (HPI):
• Onset: Headaches have worsened in frequency and
severity over the past 6 months.
• Frequency: Occur 3–4 times per week.
• Duration: Each headache lasts several hours to a
full day.
• Character: Described as throbbing, unilateral,
mostly on the right side.
• Associated symptoms:
o Nausea
o Photophobia (sensitivity to light)
o Phonophobia (sensitivity to sound)
• Aggravating factors: Stress, lack of sleep, certain
foods.
• Relieving factors: Quiet, dark room; limited relief
with OTC meds (e.g., ibuprofen).