35 year old female presents with 2 day history “migraine headache”. She reports she has had migraine headaches since first year in college and takes Imitrex 50 PO as needed for migraines. She reports Imitrex is taken at onset of headache usually aborts headaches. She reports pain level as 7-8 on scale of 0-10. She reports taking 2 Imitrex within last 6 hours. She is nauseated and has experienced dry heaving. She describes pain as sharp and pounding behind both eyes that radiates to top of head. Current Medications: • Imitrex 50 mg 1 at onset of headache may repeated in 2 hours if headache not resolved, do not exceed 4 tablets in 24 hours, • Ibuprofen 800 mg prn, • OrthoTriCyclen Lo 1 PO qd. Allergies: NKA Past Medical History: Migraine headaches since age 21, cholecystectomy age 28. Family History: Mother with history migraine headaches prior to onset of menopause, father with history of CAD with stenting, 2 siblings no known health problems. Vital signs: BP 144/86, P 88, R12, O2 Sat 93% on room air. Weight 156 pounds, height 68 inches. Questions: 1. What additional history questions would you ask? 2. What objective health assessment testing would you perform on this patient? 3. Explain what system and why you are performing each health assessment technique. 4. What treatment would be appropriate for this patient (does it meet standard of care)? 5. What experiences can you draw on to help evaluate this patient?
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[Answered]: 35 year old female presents with 2…