Medicine case review
Case of a 42 year old female with multiple health issues. Presented by: ANJALI YERRABELLY (06) Present complaints: *Migraine *Swelling mostly face and abdomen *Sleep disturbances *fatigue *Increased tolerance to pain History: 1. MIGRAINE: Sudden, gradually progressive more on left side head ache started at 2 years of age * Associated with: Aura numbness of left hand and left side of the face feeling of rotation and spinning while sleeping on left side. INVESTIGATIONS: * CT and MRI of brain: brain tumours, stroke, TIA * CSF analysis: infections * EEG :seizures * Magnetic Resonance Angiography:TIA * Intracranial pressure TREATMENT: triptans like sumatriptan dihydroergotamines anti nausea medications 2. SWELLING: The patient gave a history of swelling of face and abdomen since she was a 1 year old and continues on and of till date. Triggers factors for edema include emotional stress, exercise, smoke, eating the wrong thing.The p