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Online discussion adolescent with headache stiff neck and photophobia

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NUR550.NG006 Advanced Health Assessment
Home / My courses / NUR55O.NG0O6 / Week Three / Online discussion: Week Three
P Online discussion: Week Three
Adolescent with Headache, Stiff Neck and Photophobia You are working night shift in the ED. An adolescent male, aged 18 who is a freshman at the local college living in a large dormitory presents with chief complaint (CC) of severe headache, stiff neck, and “the light hurts my eyes” I for the past 12 hours. He is accompanied by his roommate who states that the patient “was fine this morning’-. The patient’s roommate is planning to leave to go back to the dorm. Questions: What is your initial impression? Why? What is your first course of action? What focused interview questions will you ask when obtaining his history of present illness (HPI)? Which portion of the physical assessment will you focus on first? What specific findings would help confirm your diagnostic suspicions? What kind of information will you provide for your patient?
His roommate? What further action will you take? In the course of history taking you become aware that the patient did not receive the full course of recommended immunizations in childhood and adolescence because his parents “don’t believe in vaccinations”. Which immunization in pajMcuiar are yoji most interested in asking about at this time? Do you believe people have an ethical responsibility to have their children fully immunized? What will you say to your patient about this issue?
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Advanced Health Assessment
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Advanced Health Assessment
Following the symptoms, severe headache, stiff neck, and light sensitivity, my initial impression would be that the patient has meningitis. According to Ala et al., (2018), severe headache that causes light sensitivity could be an indication of migraine. However, the condition of a stiff neck is clearly a sign of meningitis. These conditions require immediate treatment. I will, therefore, test the patient’s blood and the spinal fluid to identify the type of meningitis. I would do other tests to check for any inflammation in the patient’s brain or spinal cord. In the case of viral meningitis, I would recommend over the counter pain relievers and ask him to go home. However, for bacterial meningitis, the patient will be hospitalized and be put on intravenous antibiotics. After recovery, I would check for any brain or ear damage.
I will ask the patient’s medical history and whether he has recently traveled to a region that has a high frequency of meningitis. The physical assessment I will focus on is any markings or lumps and reddish skin rash. I would check for two signs of meningitis: Brudzinski’s sign of...
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