Reference no: EM133833316

Question

A 19-year-old female presents with a complaint of headaches frequently. She reports that she has had them since she was a teenager, but they have become more debilitating recently. The episodes occur once or twice a month and last for up to 2 days. The pain begins in the right temple or the back of the right eye and spreads to the entire scalp over a few hours. She describes the pain as a sharp, throbbing sensation that gradually worsens and is associated with sever nausea. Several factors aggravate the pain including loud noises and movement. She has taken several over the counter medication like naproxen and acetaminophen for the pain but the only thing that makes it better is going to sleep in a dark quiet room. Reports no drug allergies but has seasonal and allergies to pet dander. A thorough history reveals her mother suffers from migraines. Last menses 4 weeks ago, is sexually active uses condoms. Currently a freshman in college. Denies alcohol, illicit drug and tobacco use. Last health visit was over the Summer, up to date on health maintenance for her age. She denies fever, chills, night sweats or neck stiffness. She denies visual changes.