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Neurological & Male Genitourinary Disorders

Frantz Jacob

St Thomas University

Subjective Data

For the diagnosis, it is vital to obtain data concerning abnormalities in breathing and fever. Data concerning other infections are also crucial for precise diagnosis. Furthermore, data concerning the patient’s change in personality and inappropriate behavior is vital. Though the patient had a severe headache the day before and difficulty speaking, the diagnosis also should look for additional speech difficulties. Other data to obtain include vision changes and Seizures.

Objective Findings

For the patient diagnosis, it is vital to understand patient family history. Besides, it is crucial to obtain imaging scans using tools such as CT scans or MRIs. These imaging data give more precise information concerning tumors, stroke, and abnormal brain structures. It is also vital to obtain data concerning pain, often on one side of the individual head, throbbing pain, light and sound sensitivity, and touch and smell sensitivity.

Diagnostic Exams

For the patient’s diagnosis, a Magnetic resonance imaging (MRI) scan must be taken to diagnose any tumor and stroke presence. According to Mittal & Tayal (2020), MRI utilizes magnetic fields and powerful radio waves to produce detailed blood vessels and brain images. It helps diagnose brain bleeding, tumors, strokes, disease infection, and other nervous system and brain disorders.

Additionally, it is vital to order for computerized tomography (CT) scan to detect the presence of infection, brain damage, and other medical condition causing a headache. According to Sarkar, Wahi, and Munshi (2019), CT scan utilizes X-rays to develop clear and detailed cross-sectional brain images. It is vital to detect the patient’s condition. It can combine X-ray images series from various patient angles to create cross-sectional images of soft tissues and blood vessels. Therefore, it is vital to show and confirm any signs of tumors, brain damage, infections, and brain bleeding.

Physical and neurological exams. In this test, the diagnosis aims to examine the condition linked to headaches, like other infections, breathing abnormalities, fever, hypertension, personality changes, mental confusion, seizures, and continuous speech difficulties.

Differential Diagnoses

They are assessing Psychiatric Comorbidity. Psychiatric comorbidity is the presence of more than one kind of Psychiatric disorders in a patient. This condition can result in headaches and other symptoms. According to Maizels (2004), Anxiety and depression are highly prevalent in old patients. Therefore, patients who have symptoms like this shown in the scenario should be screened for psychiatric comorbidity. The study is also useful to patients with headache. Patient’s personal and family medical history. According to Chowdhury (2012), most types of headaches have no diagnostic tests to confirm. Therefore, it is vital to accomplishing diagnosis by reviewing the patient’s family and personal medical history. Also, the practitioner should consider the possibility of a secondary headache disorder .Also, Blood tests are vital for differential diagnosis. According to Chowdhury (2012), various blood tests are essential for analyzing patient blood chemistry to check for underlying conditions.

Teaching

Accurate and holistic diagnosis lowers socioeconomic costs, increases the quality of life, and minimizes over-prescription. Differentiating secondary from primary headache, there is a need to examine the patient history and physical examination, including a neurological exam.

I would also advise drinking adequate water to the patient since hydration may cause headaches and insufficient sleep.

References

Chowdhury, D. (2012). Tension type headache. Annals of Indian Academy of Neurology, 15(Suppl 1), S83.

Maizels, M. (2004). The patient with daily headaches. American family physician, 70(12), 2299-2306.

Mittal, N., & Tayal, S. (2020). Advance Computer analysis of Magnetic resonance imaging (MRI) for early brain tumor detection. International Journal of Neuroscience, 1-16.

Sarkar, S., Wahi, P., & Munshi, P. (2019). An empirical correction method for beam-hardening artifact in Computerized Tomography (CT) images. NDT & E International, 102, 104-113