Comprehensive iHuman Case Study: 26-Year-Old Female Patient with Severe Frequent Headaches (Class 6512) - Week #9

Comprehensive iHuman Case Study: 26-Year-Old Female Patient with Severe Frequent Headaches (Class 6512) - Week #9
Symptoms
1. Persistent Dizziness
o Occurring daily
o Sensation of spinning (vertigo)
2. Unsteadiness
o Particularly when standing
o Difficulty with balance
3. Associated Symptoms
o Tinnitus (ringing in the ears)
o Mild headaches
o Occasional blurred vision
4. Interference with Daily Activities
o Difficulty performing work tasks
o Challenges in exercise and social interactions
5. Triggers
o Rapid head movements
o Standing up too quickly
o Crowded places
6. Severity
o Rated as 7 out of 10 in discomfort
7. Duration of Episodes
o Lasting from a few minutes to several hours
o .
History of Present Illness- HP1
 Symptom Characteristics:
ï‚· Daily episodes of dizziness.
ï‚· Sensation of spinning (vertigo).
ï‚· Unsteadiness, particularly when standing.
ï‚· Severity:
ï‚· Rated 7 out of 10 for discomfort.
ï‚· Associated Symptoms:
ï‚· Constant tinnitus (ringing in the ears).
ï‚· Mild headaches.
ï‚· Occasional blurred vision.
ï‚· Triggers:
ï‚· Rapid head movements.
ï‚· Standing up too quickly.
ï‚· Crowded places.
ï‚· Duration of Episodes:
ï‚· Lasting from a few minutes to several hours.
ï‚· Previous Treatments:
ï‚· Over-the-counter motion sickness medications tried, with minimal relief.
ï‚· Resting sometimes alleviates symptoms.
ï‚· Recent Lifestyle Changes:
ï‚· Increased stress from a new job.
ï‚· Some sleepless nights.
ï‚· Family History:
ï‚· Grandmother had episodes of dizziness.
ï‚· No significant family history of chronic conditions related to dizziness.
ï‚· New Occurrence:
ï‚· Symptoms are new; never experienced dizziness like this before.
Past Medical History (PMH)
ï‚· Chronic Conditions:
o No known chronic medical conditions reported.
ï‚· Previous Episodes:
o No history of similar dizziness or vertigo episodes.
ï‚· Surgical History:
o No past surgeries reported.
ï‚· Medications:
o No regular medications; has used over-the-counter motion sickness tablets with
minimal success.
ï‚· Allergies:
o No known drug allergies reported.
ï‚· Family Medical History:
o Grandmother experienced episodes of dizziness.
o No significant family history of chronic illnesses or neurological conditions.
ï‚· Social History:
o Recently started a new job, contributing to increased stress.
o Occasional sleepless nights reported.
Family History (FH)
ï‚· Grandmother:
o History of dizziness episodes.
ï‚· Parents:
o No significant medical conditions reported.
ï‚· Siblings:
o No known chronic illnesses or relevant medical histories.
ï‚· Other Family Members:
o No family history of neurological disorders or hereditary conditions.

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