NURS 3120 Lecture Notes - Lecture 4: Cluster Headache, Otitis Media, Aphthous Stomatitis

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Heent health history/present: ha(cid:448)e there (cid:271)ee(cid:374) a(cid:374)(cid:455) (cid:272)ha(cid:374)ges to . Patient/client problem based history: note the most common pro(cid:271)le(cid:373)s r/t this s(cid:455)ste(cid:373) i(cid:374)(cid:272)lude . Headache assessment: headaches, cluster headaches: occur more than 1x/day & last 1-2 hours. Are unilateral: migraines: periodic intervals & last from a few hours to 1-3 days. Ca(cid:374)"t (cid:449)ork, dri(cid:448)e, loos dail(cid:455) fu(cid:374)(cid:272)tio(cid:374) of activities. Foods/stress: headache types, sinus: cause tenderness, tension: front/back of head, cluster: pain over eye, temples, forehead & cheeks, tension: throbbing pain, may have burning/stabbing sensation behind eyes. Headaches: sinus, pain is behind browbone and/or cheekbones, cluster, pain is in and around one eye, tension, pain is like a band squeezing the head, migraine, pain, nausea and visual changes are typical of classic form. Common problem: headaches: most common reason for seeking medical attention, chronic or primary = recurring headaches, classification occurs based on s/s & history. Increase in icp with bigger head, fontanels bulge.

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