Neurological examination SOAP - Pt is a female 21 year old

Question # 00839329 Posted By: wildcraft Updated on: 03/08/2023 08:10 PM Due on: 03/09/2023
Subject Nursing Topic Nursing Tutorials:
Dot Image

Neurological examination SOAP

CASE: Pt is a female 21 year old college student who came to the clinic for wellness examination of the Neurological examination. She suffers from Tension Headaches (Final DX).

Subjective - Review of Systems

Neurologic: no dizziness, seizures, no loss of coordination, or sensation. She reports headaches, rated: 6 out of 10. Sensitivity to light.

Head: normocephalic and atraumatic



Objective - Physical exam


Head: Pain in both sides of head, dull aching head pain


Assessment: - Differential diagnosis [GIVEN]

1- Tension headache

a. Explanation:

2- Sinusitis

a. Explanation:

3- Migraine headache

a. Explanation:

Final DX: Tension headache. EXPLANATION




Diagnostic plan (x-rays, labs, PFTs, etc.):

Treatment/Therapeutic Plan (meds):


Education and Follow up plan:



------Please follow the format. Add information in sections that are empty, and expand with additional information to subjective and objective if needed to support the diagnosis Tension Headaches and plug in-text citations with references and APA format as usual.

· Add information to the Plan section

· Write Explanations to the assessment as to why each of these could be a possible diagnosis: Sinusitis OR Migraine headache

Please format to support and expand the information I have written, with in citations.

Everything in APA format with intext citations

References: 2 high-level scholarly references within the last 5 years in APA format.


Dot Image
Tutorials for this Question
  1. Tutorial # 00834794 Posted By: wildcraft Posted on: 03/08/2023 08:11 PM
    Puchased By: 2
    Tutorial Preview
    The solution of Neurological examination SOAP - Pt is a female 21 year old...
    Neurological_examination_SOAP_-_Pt_is_a_female_21_year_old.ZIP (18.96 KB)

Great! We have found the solution of this question!

Whatsapp Lisa