Chief complaint: Neck pain and headaches History of Present Illness: A 62-year-old slightly obese female with a history
Posted: Wed Jul 06, 2022 10:23 am
Chief complaint: Neck pain and headaches
History of Present Illness:
A 62-year-old slightly obese female with a history of neck pain,headaches and hyperlipidemia complains of fatigue and lack ofenergy.
ROS revealed a 20-year history of smoking, long-term statindrug use, and no supplementation. She is sedentary and has a familyhistory of high blood pressure.
VITALS: Temp 97.8, Pulse 66, RR 20, BP 160/101
Pertinent Findings: 5’10”, 263 lbs, moderately obese womanwith excess body fat around the waist. All active cervical rangesof motion were slightly limited with pain. Shoulder depressioncaused a stretching feeling bilaterally. All other orthopedic andneurologic tests were negative.
A blood test was performed to cholesterol levels.
Lab Results:
What additional diagnostic tests would youorder (may be more lab tests, imaging, neurological,etc.), and why (i.e. what are you tryingto rule in/out)?
History of Present Illness:
A 62-year-old slightly obese female with a history of neck pain,headaches and hyperlipidemia complains of fatigue and lack ofenergy.
ROS revealed a 20-year history of smoking, long-term statindrug use, and no supplementation. She is sedentary and has a familyhistory of high blood pressure.
VITALS: Temp 97.8, Pulse 66, RR 20, BP 160/101
Pertinent Findings: 5’10”, 263 lbs, moderately obese womanwith excess body fat around the waist. All active cervical rangesof motion were slightly limited with pain. Shoulder depressioncaused a stretching feeling bilaterally. All other orthopedic andneurologic tests were negative.
A blood test was performed to cholesterol levels.
Lab Results:
What additional diagnostic tests would youorder (may be more lab tests, imaging, neurological,etc.), and why (i.e. what are you tryingto rule in/out)?