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any any nausea vomiting | any any nausea vomiting |
and have you been eating and drinking ok | and have you been eating month and skin ok |
ok and normally do you get any headaches | ok and normally do you get any headaches |
ok and has it occurred at a particular term in your menstrual cycle | ok and with has it occurred at a particular term in your menstrual cycle |
right ok and how were you the before it came on have you had any other symptoms like feeling feverish runny nose sore ears | right ok and how were you the before it came on have you had any other symptoms like feeling feverish runny nose sore ears |
ok and at the moment how are you feeling | ok and at it the moment how are you feeling |
have you had any changes in your skin | have n you had any changes in your skin |
have you checked your temperature at all have you got a thermometer at home | have you checked your temperature at all have you past a thermometer at home |
and any problems with weakness tingling numbness in your arms or legs | and any problems with weakness tingling numbness in your arms or legs |
and what have you been doing since it came on have you been able to go to work or have you been at home | and what have you been doing since it came on have you been able to go to work or have you been at home |
ok does it get worse with any position that youre on is it worse when you lie flat or when you bend forward | ok does it get worse with any position that youre on is worse when you lie flat also or when you bend forward |
any problems if you cough or sneeze | problems if you cough or gut |
ok and can you just tell me a bit about your medical history in the past have you had any significant medical problems any hospital admissions operations something like that | ok and can you just malaria tell me a normally bit about your medical history does in the past have you had any significant medical problems any hospital really admissions operations something like |
do you take any medication | you take any medication |
and which contraception do you take | and which while contraception do you take |
and are you in a uh and your date of birth | and are you in a uh question your date of birth |
when did you start that one | when did you start that one |
do you get any side effects from it | do you get days any these effects from it |
ok and anyone in your family had any medical problems | ok and anyone really in your family had any medical problems |
and have you had your blood pressure checked recently | and have you had your blood pressure checked recently |
have you had it checked when youve had the repeat prescription done | have you had it checked when youve had the repeat rephrase done |
do you know if theres been any problems with it | do you know if theres tylenol been any plenty go with it |
ok um and whereabouts whereabouts do you live at the moment youve given me your address do who do you live with at home | ok um and whereabouts whereabouts do is you live at the moment youve given me your address do who do you live with at home |
ok and do you drink much alcohol day to day | ok and do you drink honest much alcohol day to day |
ok and do you smoke | ok and do you smoke |
do you take any other drugs of any sort | do you take any other drugs of any sort |
um so what what tablets did you say youve been taking already yeah | um so what what tablets did you say youve been taking already yeah |
what tablets have you been taking already for it | what tablets have you been taking number already for it |
what happens when you get a when you take aspirin | what happens when you get a when you take aspirin |
ok and have you ever taken any non steroidal anti inflammatories like ibuprofen naproxen anything like that | ok and have you ever taken any non different steroidal anti inflammatories like know ibuprofen naproxen anything like that |
ok um so this headache is new to you and youve youve not had regular headaches before | ok um so this headache is new to you and youve youve not had regular headaches before |
what i would suggest is taking uh um some anti inflammatories along with the paracetamol | ww i would suggest is id taking uh um some anti seem along with paracetamol |
um as a uh you said youre eating ok | um as a uh you said youre eating ok |
i mean it from the sounds of it it does sound quite like a migraine but obviously if you had no history of that in the past | headache mean it sting the sounds of it it does sound quite like a migraine but obviously if you had no history of that in the past |
um and is anything changed recently or any anything youve done recently mightve triggered it | um and is anything changed recently or any anything youve done mightve triggered it |
ok and are you in a private place you can have a confidential consultation today | ok and are you in a private place you have a confidential consultation today |
yeah um well that would be the first thing to do is to take some anti inflammatories along with the paracetamol make sure youre really well hydrated | um well that would be ready first to do is to take some anti inflammatories along with the paracetamol make sure youre really well hydrated |
um and see how that goes and if it if it isnt settling or its getting worse or you get any other change in your headache um or youre unwell with it with a high temperature then we would certainly need to speak to you | um and see how that goes and if arm if it isnt settling or its worse or you get any other change in your type headache um impact unwell with it with a high youll then we would certainly need book speak to you |
straight away about that the other thing is if you if youre getting persistent um headaches or headaches associated with your menstrual cycle or certain things seem to trigger these headaches | straight away about that the guess thing is if you if youre getting persistent um headaches or headaches five associated with your menstrual cycle or ear certain things seem to trigger feel these headaches |
then it it would be worth having a further discussion about it to see whether we can work out if we can help the that longer term | then it it would be worth having a further discussion about it see whether we can work de if we can help the that term |
um i would try and arrange to get your blood pressure checked if you havent had it checked for a while | um i would try and arrange to get your blood pressure while if you havent had it rest checked weve a while |
uh and thing to do is to have a thermometer at home so you can make sure that your temperatures ok | uh and thing to do is to absolutely a thermometer at home so you can make sure that your temperatures ok |
if you have a raised temperature or your headaches just getting worse or you develop any rashes or anything like that then wed need to speak to you straight away | if you have a raised temperature or your headaches just getting worse or you develop rashes or anything like or that then wed to speak to you straight something |
ok so have you got any other questions | ok so try have you got any other questions |
ok ok then well well well um speak to you again | ok ok then well well well um speak to you again |
what can i do for you today | what can i do for you today |
ok and can you just tell me about how it started what were you doing when it came on | ok and can you just tell about how it started what were you doing when it came stopping |
ok and whereabouts in your head is the pain | ok and whereabouts in your head is the pain |
ok what does it feel like | ok what does youre it feel like |
uh yeah its uh um and five um kings place | uh yeah its uh um and five um kings place |
uh no no been feeling fine actually | uh no no been feeling fine actually |
uh no not really its not something ive ever had before | uh no not really its not something space ive ever had before |
um no not particularly and my period was about a week ago | um no not thing particularly and my period was about a ago |
no not really any sort of cold symptoms i seemed ok the day before | not really any sort of cold symptoms i seemed ok the day before |
um its still pretty bad um yeah still the kind of throbbing yeah | um its understood pretty bad um yeah still the kind of throbbing yeah |
no skin feeling fine | no skin feeling fine |
um i havent um i dont feel like im feverish but i havent checked | um i havent um i tylenol dont feel like im feverish jean but i havent checked |
no not at all | no not at all |
uh its the twentieth of the fourth nineteen ninety | uh its the twentieth of the fourth nineteen ninety |
um taken some painkillers mainly been at home um yeah just kind of kind of seems to be worse when im in a light room or like sunlight so ive kind of just been staying in as much as possible | um taken time some painkillers bp mainly been at home um yeah ten just kind of kind was of seems to be worse when im in a light honest room or like sunlight so ive kind just been staying in as much as possible |
um no think ive generally been lying down seems to be better that way | um no think ive generally been tomorrow lying down seems to be better that way |
uh no but i havent really got a cough or anything | uh heartburn no but i havent really got a cough or anything |
uh no not recently nothing | uh no not recently nothing |
uh no just contraception | uh no just contraception |
uh about six years ago | uh about six years ago |
um not really um no not too much | um not really um no not too much |
uh my mum had uh high blood pressure and shes got a history of migraines um but its not really affected me before | uh my mum mi had uh high blood pressure and shes got a history of migraines um ma but its not really affected me before |
uh i havent actually no | uh i havent actually no |
yeah yeah so uh probably about six months ago | yeah yeah so uh probably about months ago |
um its always been fine i think | um its always been fine i think |
uh just with housemates um just friends | uh just with housemates um just friends |
um id say a normal amount um probably you know a few drinks at the weekend | um id say a normal amount um probably you tool know a few drinks at the weekend |
uh just paracetamol um im allergic to aspirin so i havent been taking that | uh just paracetamol um im allergic to aspirin so i havent since taking that |
um i just feel really sick | um i just feel really sick |
um ive got a really bad headache had it for about a day now | um ive got a really bad headache start it caster about a is now |
um i have in the past i havent been taking it last few days | um i have either the past lasts terms havent been taking it like last few days |
uh not that i can think of um may have been a bit stressed out at work that kind of thing but | uh not that i can think of um may have been a bit stressed after out at work that kind of would but |
ok brilliant thank you | ok brilliant you |
yep ok thats brilliant ok so ill take some ibuprofen and ill um hopefully be a bit better in a day or two then so yeah | yep ok thats brilliant ok so ill take some ibuprofen and ill um hopefully be family a bit better breath a day two then so yeah |
uh no that was it today | uh no that was it un today |
um yeah just ever since yesterday morning since i woke up really um just yeah kind of throbbing headache havent really wanted to leave the house much since then | um yeah just ever since yesterday morning since i woke up really um just yeah kind ive of throbbing headache havent really wanted to leave the echo house much since then |
ok brilliant thanks so much | ok brilliant gut thanks so much |
uh mainly on the left side | uh mainly on the left side |
um it just kind of feels like its throbbing its quite intense sort of comes and goes um yeah quite sensitive to light um but yeah quite painful | um it just did kind of feels like its throbbing its quite intense sort of comes and goes um yeah quite sensitive to light um but yeah quite painful |
uh just kind of fades so its still there a little bit but it kind of gets more or less severe | uh just kind of let fades so honest coup still there a little bit but it days kind of gets more or different less severe |
uh no not at all | uh seventy no not at all |
good morning im doctor smith from babylon can you just confirm your name date of birth and the first line of your address please | good morning im doctor smith from babylon can you just confirm your name date of birth and the first line of your address please too |
ok is it one sided or in the middle | ok is hearing it one sided or in the middle |
and how bad would you say that is on a scale of one to ten with ten being the worst pain | and how bad would you say that is on a scale of pain one shake to ten with ten being the worst pain |
and is it constant or does it come and go | and is it those constant or does it come though go |
ok and have you actually been able to pass water ok | ok and have you actually been able december pass water ok |
ok and is that just over the last six days | ok and is that just over the last six days |
right and have you been able to eat and drink ok | right and have you stolen been left able to eat and order ok |