What is most appropriate step in management of his headaches

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Reference no: EM133785389

Problem

You are seeing a 33-year-old patient who presents with several weeks of gradually worsening headaches that he describes as severe and upsetting. They tend to occur three to four times per week and get worse as the day goes on. He describes them as feeling "like a vice squeezing my whole head." Ibuprofen has partially helped the pain. Unfortunately, he never has ibuprofen with him at work where the headaches are more common, because his new boss does not allow medications to be kept at work without a doctor's note. He reports no nausea, vomiting, lacrimosis, or photophobia. He is not awakened from sleep by the headaches. He appears mildly distressed, and his vital signs are normal. Examination of his head and neck, fundic discs, and cranial nerves is grossly normal. What is the most appropriate step in management of his headaches?

Reference no: EM133785389

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