Physical exam consistent with blank

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Patient is a 33 yo female with symptoms and physical exam consistent with blank. Plan: Begin the patient on a combination treatment of sumatriptan 85 mg and naproxen 500 mg, daily, until sx/sy dissipate. Prevention: Continue with the sertraline, as it can have protective effects. Begin a smoking cessation regimen, because smoking can worsen blank. Recommend some manner of stress-reduction practice, whether it be regular exercise, meditation practice, or relaxation practice. Follow-up in 3 weeks. At that time, will re evaluate with the possibility of adding a beta-blocker or calcium channel blocker. Patient was advised that if or fails to improve in the next 24-48 hours, she should call the clinic.

Reference no: EM133691028

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