What are things you do to help prevent a headache in darien

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Problem

Darien Fisher is a 12-year-old boy you see in the ER because he was brought to the hospital by ambulance after having a tonic-clonic seizure at basketball practice. His parents are divorced, so Darien lives with his mother and two younger brothers in a trailer park during weekdays. On the weekend, he lives with his father on a houseboat.

The ER physician asked Mrs. Fisher for permission to do a lumbar puncture on Darien but she refused because she remembered what a terrible headache she had after receiving spinal anesthesia for Darien's birth. Would you agree that lumbar punctures often lead to severe headaches? What are some things you could do to help prevent a headache in Darien?

Darien is prescribed Tegretol for recurrent seizures. His mother is concerned he won't take it on weekends because his father is "all fun - nothing serious."Would you agree with her that she's right in refusing to allow Darien to visit his father on weekends?

Darien is concerned that he won't be allowed to play on his school basketball team if he has another seizure. Are recurrent seizures aggravated by strenuous activity? Would preventing him from playing be good advice?

Reference no: EM133734921

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