Is It Extra Than Only a Migraine? Make the appropriate prognosis

Subjects ” Migraines and headaches

A 42-year-old woman with a history of chronic migraine headache presented to the emergency room (ED) for a headache assessment. She states that these headaches are different from the migraines she normally experiences. The pain sets in faster, with vomiting occurring earlier in the headache process than usual. The location of the pain is also atypical for them: it is both frontal and occipital and not primarily frontal. She has no difficulty speaking, swallowing, or walking; She has no fever, stomach pain or other complaints.

Her vital signs are normal except for a pulse of 95 beats per minute and a blood pressure (BP) of 147/91 mm Hg. The only noticeable finding on physical examination is mild photophobia. Initial diagnostic tests include a complete blood count and basic metabolic panel; The results of these tests are within the normal range. A computed tomography (CT) scan of the patient’s head is also done.

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This article originally appeared on Clinical Advisor


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