Evaluation of her headaches

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Question

A 30-year-old female presents to your office with c/o of evaluation of her headaches. She reports that approximately once a month she has a severe unilateral headache associated with nausea and extreme photophobia. The headache will last for a full day if not treated. She has had success in reducing the severity of the headaches with opioid pain medications but usually she is to nauseous to take them. Excedrin has no effect. When she has to take an opioid, she will have to sleep for several hours afterward. She is missing about a day of work a month because of the headaches. She has no significant PMH and takes no medications on a regular basis. Her examination today is normal.

1. What is your diagnosis and differentials? Use VINDICATE

2. What is your plan of treatment?

3. If this treatment is not effective what else can you prescribe?

Reference no: EM133845749

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