42 F Headache and neck pain
A 42 year old female, labourer by occupation came to the OPD with the
C/o:- headache since 5 yrs
- neck pain since 5 yrs
Hopi:
The patient was apparently asymptomatic 5 yrs ago then she developed headache and neckpain which was incidious in onset and gradually progressive
The headache and neckpain aggrevated on working and on prolonged sunlight exposure
Headache and neckpain were relieved on using medication
H/o of vomitings, giddiness, blurring of vision and tinnitus followed by headache
Past history:
N/k/c/o Diabetes mellitus, hypertension, tb, asthma, thyroid, epilepsy, CAD, CVA
H/o using spectacles for headache and neckpain
Family history: insignificant
Personal history:
Sleep- adequate
Appetite - normal
Diet-mixed
Bowel and bladder - normal and regular
Addictions- teetotaler
General examination:
C/c/c
Moderately built and nourished
No signs of pallor, iceterus, cyanosis, clubbing, lymphadenopathy and pedal edema
Vitals: bp-100/70 mmHg
Pr-64 cpm regular in rhythm and normal in volume
Rr-14 Bpm
Temperature - afebrile
Systemic examination:
Cvs examination:
S1,S2 heard
No murmurs
Rs examination:
Normal bronchial and vesicular sounds heard
Lateral view of abdomen in comparison with bicep
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