Voodoo1
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39 Y/o male, history of schizophrenia, bi polar disorder, psychosis, and edema
Pt's c/c is of constant throbbing pain in the cervical spine that radiates to the back of his head. He says that it feels like somebody is punching him in the skull all day long. Pt also complains of numbness, pins and needles and loss of strength in all four limbs. His wife says that he gets hot and cold very quickly and has noticed a change in his body odor. She said it's almost a sweet smell. Cold compresses on forehead help with pain, laying down in any position makes it worse. Unknown family history of any major illnesses. Wife states that there has never been any changes in behaviour or in consciousness.
The initial incident that brought about his symptoms happened while he and his wife were having sex. His wife said that he got very red in the face and and his head started to pound and throb, he was complaining of being very lightheaded and 10 minutes afterwards thought he had a migraine. The symptoms have lasted for two weeks with no reprieve.
He has been tested for diabetes, thyroid imbalance, infectious causes and all have come back negative. Pt has not been running a fever, any difficulty of breathing or has had any signs of TIA or CVA.
He has been refered to neuro, had a CAT done, nothing abnormal.
Any ideas???
Pt's c/c is of constant throbbing pain in the cervical spine that radiates to the back of his head. He says that it feels like somebody is punching him in the skull all day long. Pt also complains of numbness, pins and needles and loss of strength in all four limbs. His wife says that he gets hot and cold very quickly and has noticed a change in his body odor. She said it's almost a sweet smell. Cold compresses on forehead help with pain, laying down in any position makes it worse. Unknown family history of any major illnesses. Wife states that there has never been any changes in behaviour or in consciousness.
The initial incident that brought about his symptoms happened while he and his wife were having sex. His wife said that he got very red in the face and and his head started to pound and throb, he was complaining of being very lightheaded and 10 minutes afterwards thought he had a migraine. The symptoms have lasted for two weeks with no reprieve.
He has been tested for diabetes, thyroid imbalance, infectious causes and all have come back negative. Pt has not been running a fever, any difficulty of breathing or has had any signs of TIA or CVA.
He has been refered to neuro, had a CAT done, nothing abnormal.
Any ideas???