headache and dizziness
DESCRIPTION
Headache and Dizziness. Continuing Clinical Education Emergency Department. Case Presentation. 37 year old female CC: Headache occipital area; PS = 6/10 Hx : 5 days PTC (+) headache at occipital area; 2 episodes of vomiting; (+) dizziness - PowerPoint PPT PresentationTRANSCRIPT
Headache andHeadache andDizzinessDizzinessContinuing Clinical EducationEmergency Department
Case PresentationCase Presentation37 year old femaleCC: Headache occipital
area; PS = 6/10Hx: 5 days PTC (+)
headache at occipital area; 2 episodes of vomiting; (+) dizziness
Persistence of symptoms caused patient to seek consult: (-) one-side weakness, (-) blurring of vision
Case PresentationCase PresentationV/S : T=36 °C, PR= 102, RR= 21,
BP=158/105, PS = 6/10PMHx: HTN, HyperthyroidismNormal PEEtorixocib 120 mg given POBP monitoring done: 140/90
130/90Dx: Hyperthyroidism, Vascular
HeadacheDischarged with V/S: T=36.1 °C, PR=
84, RR= 20, BP=130/90, PS = 0/10
Case PresentationCase Presentation59, FemaleCC: Spinning
SensationHx: Upon
waking up, complained of dizziness, spinning in character aggravated by movement
Case PresentationCase PresentationHx: No focal weakness, numbness,
chest pain, (+) nausea, no vomitingV/S : T=36 °C, PR= 84, RR= 21,
BP=180/120, PS = 6/10GCS 15 (E4, V5, M6); Pupils 2-3 cm
ERTL, EOM intact, no facial asymmetry, tongue midline, no Babinski; no motor/sensory deficit
ECG, Serc 16 mg tab PO, Plasil 10 mg IV
Case PresentationCase PresentationBP monitoring every
15 minutes◦150/100◦150/100◦140/90
Dx: BPPV, Hypertension Stage II
DischargedTake home meds:
◦Serc 16mg tab TID◦Clonidine 75mcg tab
SL for SBP > 160 mmHg