history of Present Illness
Review of Systems
Past Medical history
Physical Examination
Essential Differential Diagnosis
Essential Immediate Steps
Test Interpretation
Relevant Testing
Test Results
Diagnosis
Treatment Orders
Question 1
Question 2
Question 3
About the Case
Reccurent Headaches in a 31-yr-old Woman
Past Medical history
Medical history
: Polycystic ovary syndrome with subfertility. Prehypertension: Patient was told her BP was 136/82 mm Hg at a routine physical examination 3 mo ago. At that time, she was asked to lose some weight and restrict salt intake.
Surgical history
: Cesarean delivery 5 yr ago.
Medications
: Ibuprofen 400 mg tid as needed.
Allergies
: Penicillin and erythromycin.
Family history
: 3-yr-old sister died because of a kidney problem (details unknown to the patient). Two brothers are currently being treated for epilepsy. She has no family history of cardiovascular disease, heart attack, or cancer.
Social history
: The patient has a healthy balanced diet, is a nonsmoker, and occasionally drinks alcohol. She denies any use of recreational drugs. She works in administration. She lives with her husband and two children. Her last foreign travel was 1 yr ago; it was a week-long holiday in Spain.
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