Case
sue

Age: 52
Sex: Female
Race: caucasion

History
History of present illness:
Complaining of H/A , weakness in upper extremity, altered LOC

Medical History:
Hx. anurysm head

Allergies:
NKA

Medications:
none

Social history:
social drinking


Physical Exam
General:
well nourished female

Temperature:
wnl

Heart rate:
nsr

Neck:
stiffness

Neurological:
lethargic

Skin:
warm , dry

Plan of treatment:
spinal tap R/O meningitis




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