Friedman

In: Science

Submitted By AngieRN
Words 1678
Pages 7
Patient is 29 year old self referred nurse who presents with complaint of increase in frequency of migraine headaches. Patient reports migraines are frontal, throbbing, rates 7-8/10 on pain scale, usually early am or at hour of sleep, last 1-2 hours, and have been increasing in intensity (6/10 to 8/10) and frequency (from twice a month to 1-2 a week). She states Frovatriptan 2.5mg and rest has usually brought relief, and now is requiring 2nd dose of Frovatriptan to obtain relief. She states her migraines are associated c nausea and sensitivity to light. Pt states she normally experiences migraines around her menstrual cycle and when she consumes ‘too much’ alcohol. Over the past two months, her shift at the hospital has included rotating day/night 12 hour shifts. She admits to increased stress levels at work secondary to increased patient load and acuity.
Medications: B complex vitamin 50mg PO BID; Frovatriptan 2.5mg PO q2h PRN migraine (max 3 tabs/24hours)
Allergies: NKDA
Tobacco – pt states she smoked 1 ppd x 12 years, quit 4 months ago c assistance of Chantix
Alcohol – 2 drinks on weekend.
Drug – denies
Childhood Illnesses – Pt states chicken pox when 6 years old
Adult illnesses – Migraine headaches first appeared at age 13 with onset of menarche – diagnosed as migraine headaches at age 14.
Surgical history – Wisdom teeth x 4 (age 17) removed s complications
OB/GYN – Pt states no pregnancies, menarche at age 13, condoms for birth control, is sexually active and currently involved in heterosexual relationship for past 6 months.
Psych – Denies any psychiatric issues
Health Maintenance
Immunizations – childhood immunizations Hepatitis A/B/C, rotavirus, DTaP, Polio, MMR, Varicella and Meningococcal up to date, received booster Hepatitis C vaccination and yearly Influenza vaccinations thru work as a nurse.
Screenings – As a nurse, pt receives…...

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