Compliant: I had a severe headache yesterday with difficulty to speak”
History of illness: A 64-year-old African American female who reports having a severe pulsatile diffuse headache yesterday with sudden difficulty to talk with last for about two hours. She did not seek medical attention. This morning she woke up with no problems but is here today due her husband advise.
PMH: Atrial Fibrillation, Hypertension. Is allergic to Non-steroidal Anti-inflammatory drugs Aspirin
Drug history: Losartan 50 mg Xarelto 15 mg BID
Subjective: Feels Palpitations, joint pain with yesterday’s episode
Vitals: B/P 131/80; temperature 98.2°F; (RR) 18; (HR) 84, irregular; oxygen saturation (PO2) 96%;
well-developed female, no acute distress
Atraumatic, normocephalic, PERRLA, EOMI, conjunctiva and sclera clear; nares patent, nasopharynx clear, good dentition.
CTA AP