IHUMAN Case Study Julie Quinn IHUMAN Case Study #2: Beth Brown NURS 5308 Midwifery 1

Case: Beth Brown
Date: February 13, 2021
“I have worsening severe headaches”. Ms. Brown, 16 y/o female presenting with more frequent, severe headaches
start started 10-12 weeks ago, occurring every week. The headache presents
unilaterally on the left side of the head and is felt behind the eye. Pain is rated
8-10/10 and prevents the patient from doing any activities, and sometimes the
pain last up to 15 hours. She says she has a sensitivity to light, loud noises,
nausea, and vomiting. The intense throbbing headache usually happens when
there isn't enough sleep or after eating junk food and chocolate with friends.
She states before the headache there are visual distortions like "thin veils" at
the edges. The headaches are relieved by a dark room and sleep. She also has
a less severe secondary headache described as "band-like" involving the
entire head, neck, and shoulders that is relieved by hot showers. She believes
the secondary headache is due to her position when studying. Her mom has a
history of headaches.
PMHx child/adult illness/hospitalizations/immunizations
No medical issues
No prior surgery
No OB/GYN issues - menstruation is regular and
no issues
G0P0
Wears helmet when biking
Plays sports - soccer
Nutrition: “regular American diet”; tries to
minimize junk food
Immunizations: Up to Date except HPV, first dose
of meningococcal at age 12, Tdap at age 12
SurgHx
None
FamHx
Grandparents (if known)/Parents/siblings/children
SHx