Patient with Migraine with Aura Experiences Increasing Symptoms and Risks
History and Present Illness
Patient is a 46-year-old female that was diagnosed with migraine with aura approximately five years ago. The patient recently presented at the ED with signs of a first CVD, verified upon admission. She now presents at her PCP for follow-up and medication management. Her chief complaint today is continued instances of visual and sensory disturbances, along with mild nausea and intense headache.
Patient is compliant with her Type II diabetes treatment and taking a triptan medication for her migraines. She takes no other medications at this time.
Weight 234 lbs.
Respiratory rate: 16
1. What risk, if any, might the patient’s diabetes have on an increased risk of major CVD in this patient diagnosed with migraine with aura?
2. Are there any factors related to the patient’s recent visit to the emergency department and today’s vital signs that indicate a need to change the patient’s migraine medication and treatment plan? Do you make any outside referrals?