APA format 3 peer review references Response needs to be why you disagree or agree with diffential diagnosis and why Patient Information:TB, 20-year-old, Male, CaucasianS.CC Intermittent headaches.HPI: T.B. is a 20-year-old Caucasian male who presents with intermittent, diffuse headaches.  His headaches have been occurring every week or so since Spring, 2018.  These headaches last for 2 to 3 days and occur over entire head but is worse above the eyes and radiates the nose, cheekbones, and jaw. The pain is described as a pressure that is intense above the eyes. There are no associated signs or symptoms, other than mild relief when enters a dark room.  T.B has not discovered a condition that makes headaches occur or worsen. Currently, the pain is rated as 7/10 pain scale.Current Medications: Intermittent Acetaminophen Extra Strength 2 several times a day with headachesAllergies: None is known to date. PMHx: Reports has received all recommended immunizations and last tetanus is in 2016.  Appendectomy at age 15.Soc Hx: Patient is a part-time student at local community college and works part-time as a Barista.  He denies tobacco or recreational drug use, no alcohol use since 2017 in high school. He reports recently beginning to vape.  He lives with a roommate in an apartment and reports has been more active as walks 3 miles daily to work and school.Fam Hx: Mother is living and in good health.  Father has not been in the patient’s life since infancy.  Sister was diagnosed with epilepsy several years ago.   Patient reports no known family history of cancer or neurological issuesROS:GENERAL:  Patient reports no weight loss or feverHEENT:  Eyes:  Patient reports no visual changesEars, Nose, Throat:  Patient reports no hearing loss, congestion, runny nose or sore throat.SKIN:  Patient reports no rash or itching.CARDIOVASCULAR:  Patient reports no chest pain, chest pressure or chest discomfort.RESPIRATORY:  Patient reports no shortness of breath, cough or sputum.NEUROLOGICAL:  Patient reports no dizziness, syncope, paralysis, ataxia, numbness or tingling in the extremities.LYMPHATICS:  Patient denies knowledge of enlarged nodes. No history of splenectomy.PSYCHIATRIC:  No history of depression or anxiety reported.ENDOCRINOLOGIC:  No reports of sweating, cold or heat intolerance. No polyuria or polydipsia reported.ALLERGIES:  No history of asthma, hives, eczema or rhinitis reported.O.Physical exam:Diagnostic results: MRI should be considered to determine if there is a demyelinating disease or tumor triggering pain. There is no actual diagnostic tool for trigeminal neuralgia temporal, but other causes should be ruled out (Ball, Dains, Flynn, Solomon, & Stewart, 2015).CT Scan could be ordered if felt to be sinusitis that does not respond to conservative or antibiotic treatment can lead to rare but dangerous sphenoid sinusitis affecting nerves (Velayudhan, Chaudhry, Smoker, Shinder, & Reede, 2017). CT scan is preferred over MRI for sinusitis diagnosis. A dental referral would be recommended if another diagnosis is ruled out or pain has oral pain or sign of dental inflammation.Additional questions for the patient would be will get it few hours before your set deadline. Fill in all the assignment paper details that are required in the order form with the standard information being the page count, deadline, academic level and type of paper. It is advisable to have this information at hand so that you can quickly fill in the necessary information needed in the form for the essay writer to be immediately assigned to your writing project. Make payment for the custom essay order to enable us to assign a suitable writer to your order. Payments are made through Paypal on a secured billing page. Finally, sit back and relax..

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