Question

A 57-year-old woman is seen at an urgent care clinic for a headache not relieved by acetaminophen or ibuprofen. Physical examination reveals an overweight woman who is short of breath from the walk to the examination room. Her fingers are puffy with tight rings that she is unable to remove. The woman reports she has a history of cigarette smoking, primary hypertension, high cholesterol, and type 2 diabetes. From these risk factors and the initial impression, the staff fears some form of heart disease, and the woman is transported to a nearby emergency department for further evaluation. What is the most likely diagnosis and explain the rationale for your conclusion?

Answer 1

57 year lady is most likely suffering from HAEMORRHAGIC or ISCHEMIC STROKE associated with ANGINA.

I am suspecting as by following things

1 - presentation of headache not respondinv to NSAIDS

2 - OVERWEIGHT Female prone for STROKE and HEART DISEASE

3 - is BREATHLESS may be due to over weight or due to associated ANGINA

4- SMOKING makes her more prone to heart disease

5 - HIGH CHOLESTEROL, HYPERTENSION and DIABETES all make her prone to both STROKE and HEART DISEASE