Emergency Consult

Patient Identifier: PATIENT_NAME

Date of Visit: SESSION_DATE

Time of Visit: SESSION_DATE

Presenting Complaint (CC): Severe headache

History of Present Illness (HPI): PATIENT_NAME, a [age] year old [gender], presents to the ED with a severe headache.

Review of Systems:

• Constitutional: Headache

Physical Examination:

• Neurological: Not assessed

Past Medical History:

• Not available

Family History:

• Not available

Medications:

• None reported

Allergies:

• Not available

Investigations:

• None reported

Labwork:

• None reported

Triage Information:

• Vital signs: [Record vital signs if available]
• Pain score: [Record pain score if available]

Resuscitation and Stabilization Measures:

• None required

Time-Sensitive Interventions:

• None reported

Consultations and Notifications:

• None reported

Critical Findings:

• None reported

Disposition:

• Discharged home

Follow-up Recommendations:

• Follow-up with primary care physician if symptoms persist

Impression/Plan:

• 1. Headache:
  • Plan: Recommend rest and follow-up if symptoms persist.

Note: This report is based on the provided information. Further evaluation and management may be required based on the patient's clinical presentation and response to treatment.