A 36-year-old woman with a history of migraine headaches comes to the clinic complain

Discussion in 'Plab 1 and 2 forum' started by Santosh Jadhav, Oct 23, 2013.

  1. Santosh Jadhav

    Santosh Jadhav Active Member

    A 36-year-old woman with a history of migraine headaches comes to the clinic complaining of severe left-sided headaches that are often associated with nausea and sensitivity to light. When they occur they are terribly painful and last about 12-18 hours. She has 6-8 attacks per month. She also tells you that occasionally, when she gets headaches, she has trouble with the vision in the eye on the side of the headache. She currently has no headache and no visual changes. Physical examination is unremarkable. The most appropriate intervention at this time is to:

    A. do nothing at this time
    B. increase the dose of her migraine therapy regimen
    C. order an erythrocyte sedimentation rate
    D. refer the patient for a CT scan of her head
    E. refer the patient for a temporal artery biopsy

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