PMH:
Hospitalizations: none. Denies traumas and injuries. Denies falls.
Surgical: dental 昀椀llings
Medications: Benedryl for sleep. Acetaminophen or ibuprofen for headaches.
Allergies: NKA
Immuizations: up to date. Received COVID-19 and annual 昀氀u shot.
Social History: Denies travel or sick contacts. Has 2-3 glasses of red wine a
week, about 6 oz. each. Some stress related to work and school. Denies
tobacco use. Has used marijuana in the past.
Family History: No children. Father’s history unknown. Mother is living and
experiences similar headaches.
Preventative Health: Immunizations up to date. Received COVID-19 and
annual 昀氀u shot. Diet consists of a "regular American diet" and reports eating
chocolate and cheez-its. Does not adhere to an exercise regimen beyond
"running around" while waitressing.
HPI: P.S. is a 26-year-old female graduate student who works part-time
waitressing. Headaches range in severity of 2-3/10 up to 8-10/10 lasting up
to 15 hours. Reports experiencing headaches since 10 years of age.
Headaches are associated with nausea, vomiting, photophobia, and
phonophobia. Denies any head/bodily traumas or injuries. Headaches are
relieved with OTC Acetaminophen 325-650 mg or ibuprofen 200-400 mg as
needed and with sleep, quiet, and darkness. Reports Mother has experienced
similar headaches. Reports stress related to work and school.
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