Primary headaches (tension, migraine, and cluster) Quiz: Ace Your Exams
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A 28-year-old woman presents to her primary care provider’s office for evaluation of recurrent episodes of unilateral, pulsating headaches lasting hours to two days in duration and associated with photophobia. The headaches have been occurring over the past year. Past medical history is noncontributory. Current medication includes an oral contraceptive. She occasionally uses over-the-counter analgesics such as acetaminophen for headaches. Temperature is 37.0°C (98.6°F), pulse is 68/min, respirations are 12/min, and blood pressure is 120/78 mmHg. Examination reveals normal strength, reflexes, sensation, and coordination, with a normal fundoscopic examination. Mental status, cranial nerve, and neck exams are within normal limits. Which of the following findings would indicate the need for further evaluation for an underlying cause of the headaches?
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