Answer and explanation case 23

The patient has old headaches (ie, they are the same in character as her usual headaches, albeit more severe). Therefore, the diagnosis for her headaches remains the same. Cervico￾genic headache is generally a disease of middle-aged or older patients and is uncommon in young women. Occasionally, it can occur in younger patients after whiplash-type neck injuries. It is most commonly a burning or dull pain in the occiput
and forehead. Brain tumor is a new headache. The character
and description of her pain have not changed, as one would
expect if a new source, such as brain tumor, were the cause of
the headache.
The unilateral, throbbing nature of the headaches is typical of migraine. The occasional visual aura and associated
nausea confidently establish the diagnosis of migraine with
great certainty. These 2 features most accurately distinguish
migraine from tension-type headache. She has no alarm
symptoms. The challenge is to determine why the headaches
are more severe and frequent now. Her headaches are likely
worse due to a change in her lifestyle including triggers of
irregular sleep and excessive caffeine.

Medicine in minute
https://t.me/+7qi8FX7PpTk3NWU0

شوفوا الكتاب الرائع ده ... الطب في دقيقة حرفيا ... medicine in minute
https://t.me/+7qi8FX7PpTk3NWU0

Kumar & Clark’s Clinical Medicine 10ed
https://t.me/+7qi8FX7PpTk3NWU0

MCU 2022 Davidson's Principles and Practice of Medicine, 24th Edition
Original PDF
https://t.me/+7qi8FX7PpTk3NWU0
@Medical_Book7_bot

📚 Harrison's Principles of Internal Medicine, 21st Edition (2022)

فایل ارجینال ویرایش جدید کتاب اصول طب داخلی هاریسون ، مطرح ترین منبع طب داخلی و از منابع امتحانات دستیاری و پیش کارورزی .

#Internal_Medicine #Harrison
https://t.me/+7qi8FX7PpTk3NWU0

9k
Thanks ☺️

Case 24

A previouslyhealthy 13-year-old boy is brought to the emergency department by his parents for the evaluation of several episodes of vomiting since this morning. He reports nausea and severe headache. Over the past four days, he has had fever, a runny nose,and a sore throat. His mother gave him an analgesic drug that she uses for rheumatoid arthritis. He has not had any trauma. Last month, the patient traveled to Mexico with his family. He is at the 85th percentile for height and 25th percentile for weight. He appears weak. His temperature is 38°C (100°F), pulse is 90/min, respirations are 18/min, and blood pressure is 100/60 mm Hg. Mental status examination shows psychomotor agitation alternating with lethargy. Examination shows bilateral optic disc swelling. Serum studies show:
Urea nitrogen 30 mg/dL
Glucose 67 mg/dL
Aspartate aminotransferase (AST, GOT)132 U/L
Alanine aminotransferase (ALT, GPT)126 U/L
Arterial blood gas analysis on room air shows a pH of 7.30.

choice answer