The Case of Example of Mrs N

8/30/02

Mrs. N is a pleasant, 54-year-old widowed saleswoman residing in Amarillo, Texas. Referral. None

Source and Reliability. Self-referred; seems reliable. C Chief Complaint: "My head aches."

Present Illness t (

For about 3 months, Mrs. N has had increasing problems with frontal headaches. These are usually bifrontal, throbbing, and mild to moderately severe. She has missed work on several occasions due to associated nausea and vomiting. Headaches now average once a week, usually related to stress, and last 4 to 6 hours. They are relieved by sleep and putting a damp towel over the forehead. There is little relief from aspirin. No associated visual changes, motor-sensory deficits, or paresthesias. ^ "Sick headaches" with nausea and vomiting began at age 15, recurred throughout

J her mid-20s, then decreased to one every 2 or 3 months and almost disappeared.

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