The patient is a XX-year old with a past medical history of migraine presents with a bad headache that started today. The patient reports that since the onset of the headache, the pain has been gradually worsening and is all over his head. He states that light and sound make it worse. He confirms experiencing nausea and vomiting that started a couple of hours ago. He confirms using weed at 1 o'clock today, which typically alleviates his migraines, but it did not provide relief today. Denies taking any other medication. He confirms seeing a doctor for his migraine but he can’t recall medication taken. The patient has not undergone any previous CT Scan or MRI. He denies fever, weakness on one side, loss of vision, chest pain, abdominal pain, diarrhea, leg pain or swelling, and rash. No other medical conditions.
Pt is x y/oF with PMHx of migraines who presents to ED with c/o headache that began today, Pt has had worse migraines before and he is seemed for these symptoms before ( but not sure what worked for it). Pt states that he smokes weed that helps with his headache, however, lights make the symptoms worse. Pt endorses nausea, and lightheadedness, but denies any fever, LOC, cough, chest pain, diarrhea, belly pain, urinary symptoms, or any swelling.
Oh my God! The triple cocktail of medicines is horrid for me. The Benadryl makes me feel like I’m coming out of my skin and I can’t have Toradol anyway and the Reglan actually induces vomiting for me. Every time I’ve had it I just can’t stop vomiting. I don’t understand it but it’s the way it is for my body.
The Reglan is likely what causes that anxious feeling of coming out of your skin. In fact, the Benadryl is there to help prevent that type of reaction to Reglan.
CC: bad headache HPI: The patient is a __-year-old male with a past medical history of migraine. He is presenting today with a bad headache that started a couple of hours ago and has been gradually worsening since then. The patient describes the pain as being distributed all over his head. He reports that his headache worsens in the presence of lights and sounds. The patient is also experiencing nausea and has been vomiting. The patient mentioned that smoking marijuana helps alleviate the pain, and he confirms using it at 1 o'clock today. The patient has not undergone any previous MRI or CT scan. The patient has seen a doctor before, but he cannot remember the medication he was given. The patient denies experiencing slurred speech or loss of vision. There is no associated chest pain, cough, shortness of breath, abdominal pain, diarrhea, urinary symptoms, leg pain, leg swelling, or rash. The patient does not have any other medical problems. Dx: typical Migraine
CC: Migraine HPI:Pt is x y/o male w/ PMHx of migraine experienced bad headache that began couple of hours today. Pt reported that he smokes weed today at 1300. He claimed that it helps with his migraine. Loud noise and light causes his vertigo and nausea. Pt was seen b doctor with migraine before, never taken any medications. Never had CAT scan and MRI. Denies fever, weakness, slurred speech and lost of vision. Denies diarrhea, chest pain, cough, dyspnea, belly pain, leg swelling, urinary urgency and any other symptoms. Denies any other medical conditions. PEx: Neck: completely settled Resp:normal Kidney: normal, no tenderness CarV: myotachycardia about 110 bilateral motor strength lower and upper ext Assessment: This is a x y/o male pt w/ PMHx of migraine, seen today for atypical migraine. Pt reported that symptoms was relieved by smoking marijuana. PEx results are normal. Nausea and vomiting are linked to dehydration. Medications are given and explained to the pt. Plan: 1. No other test ordered. 2. Pt was hydrated w/ IV fluids: normal saline 1L IV mix w/ toradol IV, reglan 10 IV, benadryl 25 IV. 3. Pt was adviced to watch out life style 4. Follow up if symptoms persist.
The patient is a XX-year old with a past medical history of migraine presents with a bad headache that started today.
The patient reports that since the onset of the headache, the pain has been gradually worsening and is all over his head.
He states that light and sound make it worse. He confirms experiencing nausea and vomiting that started a couple of hours ago. He confirms using weed at 1 o'clock today, which typically alleviates his migraines, but it did not provide relief today. Denies taking any other medication. He confirms seeing a doctor for his migraine but he can’t recall medication taken. The patient has not undergone any previous CT Scan or MRI. He denies fever, weakness on one side, loss of vision, chest pain, abdominal pain, diarrhea, leg pain or swelling, and rash. No other medical conditions.
Pt is x y/oF with PMHx of migraines who presents to ED with c/o headache that began today, Pt has had worse migraines before and he is seemed for these symptoms before ( but not sure what worked for it). Pt states that he smokes weed that helps with his headache, however, lights make the symptoms worse. Pt endorses nausea, and lightheadedness, but denies any fever, LOC, cough, chest pain, diarrhea, belly pain, urinary symptoms, or any swelling.
Oh my God! The triple cocktail of medicines is horrid for me. The Benadryl makes me feel like I’m coming out of my skin and I can’t have Toradol anyway and the Reglan actually induces vomiting for me. Every time I’ve had it I just can’t stop vomiting. I don’t understand it but it’s the way it is for my body.
I’m allergic to reglan and compazine. That stuff makes me feel horrendous!
I actually have a reaction to Benadryl if pushed to fast in my iv where I get a coughing attack so it freaks me out every time they give it to me
The Reglan is likely what causes that anxious feeling of coming out of your skin. In fact, the Benadryl is there to help prevent that type of reaction to Reglan.
CC: bad headache
HPI: The patient is a __-year-old male with a past medical history of migraine. He is presenting today with a bad headache that started a couple of hours ago and has been gradually worsening since then. The patient describes the pain as being distributed all over his head. He reports that his headache worsens in the presence of lights and sounds. The patient is also experiencing nausea and has been vomiting. The patient mentioned that smoking marijuana helps alleviate the pain, and he confirms using it at 1 o'clock today.
The patient has not undergone any previous MRI or CT scan. The patient has seen a doctor before, but he cannot remember the medication he was given.
The patient denies experiencing slurred speech or loss of vision. There is no associated chest pain, cough, shortness of breath, abdominal pain, diarrhea, urinary symptoms, leg pain, leg swelling, or rash. The patient does not have any other medical problems.
Dx: typical Migraine
The initial music is too loud, can you keep it low in upcoming videos.
A migraine isn’t a headache!
Can we not refer to migraines as headaches please? We don’t refer to a broken bone as a sprain.
CC: Migraine
HPI:Pt is x y/o male w/ PMHx of migraine experienced bad headache that began couple of hours today. Pt reported that he smokes weed today at 1300. He claimed that it helps with his migraine. Loud noise and light causes his vertigo and nausea. Pt was seen b doctor with migraine before, never taken any medications. Never had CAT scan and MRI. Denies fever, weakness, slurred speech and lost of vision. Denies diarrhea, chest pain, cough, dyspnea, belly pain, leg swelling, urinary urgency and any other symptoms. Denies any other medical conditions.
PEx:
Neck: completely settled
Resp:normal
Kidney: normal, no tenderness
CarV: myotachycardia about 110
bilateral motor strength lower and upper ext
Assessment:
This is a x y/o male pt w/ PMHx of migraine, seen today for atypical migraine. Pt reported that symptoms was relieved by smoking marijuana. PEx results are normal. Nausea and vomiting are linked to dehydration.
Medications are given and explained to the pt.
Plan:
1. No other test ordered.
2. Pt was hydrated w/ IV fluids: normal saline 1L IV mix
w/ toradol IV, reglan 10 IV, benadryl 25 IV.
3. Pt was adviced to watch out life style
4. Follow up if symptoms persist.