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uh im reassured that you dont have anything more serious such as meningitis or indeed
uh im reassured that you dont have anything more serious such as meningitis or indeed
brain cancer i know that was a big worry of yours initially um
brain cancer i know that was a big worry of yours initially um
well i hope that puts your you know mind at ease um certainly this is the second migraine youve had in the space of a month um
well i that puts your you know mind at ease um certainly this is second migraine youve had in the space of a month
so i think moving forwards theres a couple of options i think keeping a headache diary would be quite important uh to see exactly whats triggering these headaches
so i think moving forwards theres a couple of options i think headache diary be quite important uh to see exactly whats triggering these headaches
and in terms of trying to treat your headaches today some strong painkillers would be advisable so think about paracetamol or even co codamol
and in terms of trying to treat your today some strong painkillers would be advisable so think about paracetamol or even co codamol
um and some anti inflammatories such as ibuprofen and naproxen hows that sound to you
and some anti inflammatories as ibuprofen and naproxen hows that sound to you
ok um did the pain come on quite suddenly or was it more of a gradual build up
ok um did the pain come on quite suddenly or was it more of a build up
um and uh you know if your headaches were to become more persistent then we could maybe think about giving you some medications that will stop your headaches from happening in the first place something prophylactic medicines
um and uh you know your headaches were to become more persistent then we could think about giving you some medications that will stop your headaches from happening in the first place something prophylactic medicines
then we could have a discussion next time i see you next week perhaps
then we could have a next i see next week perhaps
ok um now a couple of things i want you to think about is you know if your symptoms arent getting better next two three days or indeed theyre getting worse
ok um now couple of things i want you think about is you know if your symptoms arent getting better two three days or indeed getting worse
id like you to come back and see me um straight away if possible so if your headaches getting worse not responding to medications
id like you to come back and see me um straight away if possible your headaches getting worse medications
or your um neck pain is getting worse or you develop any weakness in your arms and legs or your vision then i want you to come back and see me straight away ok
your um neck pain is getting worse or you develop any weakness in your arms and legs or your vision then i want you to come and see me straight away ok
does that sound all ok
does that sound all ok
great any questions for me
great any questions me
ok have a good day
ok have good day
ok and are you able to describe what kind of headache it was for example was it throbbing or was it more of a sharp pain
and are you able to describe kind of it was for example was it throbbing or was it more of sharp pain
and is it moving anywhere else at all
and is it moving anywhere else at all
ohh i just got a terrible headache since mid day
ohh just got a terrible headache since mid day
no but its worse when i move
no but its worse when
well like if i lean forward or like move my head or neck yeah headache gets worse
well like if i lean forward or like move my head neck yeah headache gets worse
im just really worried like ive just been googling and like ive read you know if your headache gets worse if you move it could be a sign of brain cancer
im just really worried like ive just been googling and like read you know if your headache gets worse if you move it be a sign of brain cancer
ohh yeah yeah and id like you know
ohh yeah yeah and id like you know
my my friends mum she she recently died of a brain tumor so its really concerning me actually
my my friends mum she she recently died of a brain tumor its really concerning me actually
eh feels like it some days
eh feels like some days
yeah well im wearing sunglasses right now its just you know the lights really hurting my eyes
yeah well im wearing sunglasses right now its just you know the lights really hurting my eyes
um on the left side its just making me feel so ill i just feel like i need to vomit
um on the left side its just making me feel so ill i just feel like i need to vomit
um no i dont feel feverish
um no i dont feel feverish
no i havent noticed anything like that
no havent noticed anything like that
um im not really prone to them no no but i did i did have a similar headache a few weeks ago
um not really prone to them no did i did have a similar headache few weeks ago
um yeah i had to take painkillers and had to go go to bed and rest and
um i to take painkillers and had to go go to bed and rest and
couple days off work and i work in the fashion industry and you know theyre wondering whats going on like i have to take sick days
days off and in the fashion industry and you know theyre wondering whats on like i have to take sick
i need to get back to work today but you know what if it is a brain tumour whats gonna happen with my future and my career
i need to back to work today but you know what if it is a brain tumour whats gonna happen with my future and my career
well you know i noticed some zig zag lines in my vision a few minutes before the headache started
well you know i noticed some zig zag in my vision a few minutes before the headache started
you know really about this never had headaches like this before like why should i get them now
you know really about this never had headaches like this before like why should i them now
no my mum my mum has has migraines but ive ive not been diagnosed
no my mum my mum has has migraines but ive ive not been diagnosed
my mom has an underactive thyroid as well
my mom has an underactive as
my vision blurred um you know it just
my vision blurred um you know it just
um i take the pill microgynon
um i take the pill microgynon
yeah its really stressful actually
yeah its really stressful actually
having problems at like work you know managers like putting a lot of pressure on me to deliver and uh yeah its not a good time
problems at like work you know managers like putting a of pressure on me to deliver and uh yeah not a good time
i dont feel down just a little bit stressed
i dont feel down just little bit stressed
i yeah pains just horrible just making me feel so unwell um
i yeah pains just just making me feel so unwell um
um i live on my own
um i live on my own
thank you uh thanks so much i was so worried that i had cancer and ohh now you say migraine yeah i guess my mum has similar symptoms to me and yeah it does make sense
thank you uh thanks so much was so worried i had cancer and ohh now you say migraine yeah i guess my mum has similar symptoms to me and yeah does make sense
k that sounds good
k that sounds good
just want you to do something
just want you to do something
dont know really it just happened
dont know really it just happened
yeah i guess its yeah i guess its throbbing um on that left side
yeah i guess its yeah i guess its throbbing um on that side
alex ohh hello hi can you hear me
alex ohh hello hi can you hear me
ok great um how can i help you this morning sir
ok um how can i you morning sir
no ok you didnt you didnt notice any abnormal white spots redness at the back of your throat
no ok you didnt you didnt notice any abnormal white spots redness at the back of your throat
thats ok thats ok and you mentioned a runny nose um again what kind of discharge is coming out is it clear or is it a bit more coloured
thats ok thats ok and you mentioned runny nose um again of coming out is it clear or is it a bit coloured
ok you feel quite congested do you
ok you feel quite congested do you
ok fine um you also mentioned a cough as well can you tell me a bit more about that
ok fine um you also mentioned a cough as well can you tell me a bit more that
ok and is it worse any particular time of the day
ok and is it worse any particular time of the day
is it is it worse any particular time of the day for example in the evenings night time mornings
is it is worse any particular time of the day for example in the evenings night time mornings
i can imagine yes uh and this has again been going on for last uh three four days has it
i imagine yes uh and has again been going on for last uh three four days has it
ok um right ok have you noticed any fevers or temperatures at all
ok um right you noticed any fevers or temperatures at all
thats very sensible um very good um in terms of your chest otherwise have you any difficulty breathing or any pain in your chest
thats very sensible um very good in terms your chest otherwise have you any difficulty breathing or any pain in your chest
when you say winded do you feel uh do you feel more short of breath would you say on exertion is that when you ok um and and thats mainly on exercise but when youre resting theres no problem
when you winded do you feel uh do you feel more short of breath would you say on exertion is that when you um and and thats mainly on exercise but when youre resting theres no problem
ok fine just a couple other questions if you dont mind any pain in in your ears at all
fine just a questions if you dont mind any pain in in your ears at all
no you dont feel blocked or any discharge coming out of your ears
no you dont feel blocked or any discharge coming out of ears
ok fine um what im gonna do im just gonna run through a few uh yes no questions if you if you dont mind just a review of your systems any any headaches at all
ok fine um what im gonna do im just gonna run through few uh no questions if you if you dont mind just a review of any at all
whereabouts are the head headaches
whereabouts are the head headaches
ok and with those headaches have you had any problems with your with your eyesight your vision
ok and with those headaches have you had any problems with your with your eyesight your vision
uh any difficulty with seeing bright lights
uh any seeing bright lights
no ok um and just moving down now in terms of any any feeling nausea or any vomiting
no ok um and just moving down now in terms of any any feeling nausea or any vomiting
ok tell me about your bowels are your bowels working ok
ok tell me about bowels are your bowels working ok
hows your appetite sir
hows your appetite sir
ok um and youre eating and drinking uh youre eating ok otherwise
ok and youre eating and drinking uh eating ok otherwise
sorry to hear that
sorry to hear that
ok um have you noticed any any funny rashes at all on your skin
ok um have you noticed any any funny rashes at all on your skin
no and any general muscle pain or aches joint pain
no and any general muscle pain or aches joint pain
yeah ok alright um and uh just having a look at the rest of your history are you otherwise fit and well or do you have any other medical problems i should be aware of
yeah ok um and uh just having a look the rest of your history are you otherwise and well or do you have any other medical problems i should be aware of
so you are otherwise fit and well uh any any allergies at all to any medications i should be aware of
so are otherwise fit and well uh any allergies at all to any medications i be of
any family history at all so anything relevant in the family that i should be aware of anything like diabetes high blood pressure
any family history at anything relevant in the family that i should be aware of anything like diabetes high blood pressure
you say grandma sorry my apologies grandma ok uh do you know what type of diabetes it is is it type one type two
you say grandma sorry my apologies grandma ok uh do you know what type of diabetes it is is it type one type two
mm ok im sorry to hear that seems like theres a lot going on there um so lets start with your your sore throat first um tell me a bit more about that if you can
mm ok im sorry to hear that seems like theres a lot going on there um so lets start with your your sore throat first um tell me a bit more that if you can
um anything else which you think is significant
um anything else which you think is
excellent ok ok um just moving on to what we social history just to get to know you a bit more as a person tell me who do you live with at home
ok ok um just moving on to what we social history just to get to know you a bit more as a person tell me who do live with at home
ok and you said youre working at the moment
ok and you said youre working at moment
what do you do for work
what do you do for work
ok and hows your work going at the moment uh over the last has it has it been affecting your work
ok hows your work going at the moment uh over the last has it been affecting your
mm ok is that stress is that affecting your um your mood at all any in any way
mm ok that stress is your um your mood at all any in any way
well if theres anything you want to talk to me about you can always come see me about your mood um stress anxiety happy to help
well if theres anything you want to talk me about you can always come see about your mood um stress anxiety happy to help
ok ok and just very briefly just in terms of smoking uh do you smoke at all
ok ok and just very briefly just in of smoking do you smoke all
ok so not not regular um and what about alcohol
ok not not regular um what about alcohol
um ok um so um
um um so um
just having listened to your story um uh really just to summarize you know since the last four days youve been feeling generally quite unwell sore throat runny nose bit of a dry cough bit of muscle pain weakness
just having to your um really to you know since the last days youve feeling generally quite unwell sore throat runny nose bit a dry cough bit of muscle weakness
um had initial fever but now settled um i dont think theres a lot to worry about i think you probably have you know a bit of a viral what we say viral illness maybe a viral upper respiratory tract infection or maybe early signs of a flu
had initial fever but settled um i dont think theres a lot worry about i think you probably have you a bit of a viral what say viral illness maybe a viral upper respiratory tract infection or maybe early signs of a flu
um these normally last about seven to days and just gets better really um over time but things you can do to really help yourself um is get plenty of rest id probably advise you taking a day or two off work if you can um
um these normally last about seven to days and gets better really um over time things you can to really help um is get plenty of rest id probably advise you taking a day or two off work if you can um
making yourself pushing fluids and make yourself well hydrated continue with the regular paracetamol ibuprofen um and and you should see how things go really um if next week youre still not better id like you to come back and see me
making yourself pushing and make yourself hydrated continue the regular paracetamol ibuprofen um and and you should see how things go really um if next youre still not better id like you to come and
um is that clear does that does that make does that make
um is that clear does that does that make does that make
ok ok and did you have any uh difficulty or pain on swallowing
ok ok and did you have uh difficulty pain on swallowing
and things to look out for if youre really not getting better if you if you have a high fever or your breathing is becoming a bit more labored or chest pain id like you to come back and see me much sooner give me a call um and we can help you out ok
and things to look for if youre really not getting better if you if you have a high fever or your breathing is becoming a bit more labored or chest pain id like you to come back see me much sooner give me a call and we can help you out ok
great have a great day good luck with your work thank you bye bye bye bye
great a great day good luck with your work thank you bye bye bye bye
you did you manage to have a look at the back of your throat in the mirror
you did you manage to have a at the back your throat in the mirror
no um i i didnt think about uh
no um i i didnt think about uh
yeah yeah its uh its clearing up
yeah yeah its its clearing up
sort of um sort of getting my nose stuffed all the time its very had to uh to get it free
sort of um of getting my nose all the time its very to uh to get it free