A 40-year-old woman with a past medical history of hypertension and fibroids presents to the primary care clinic
A 40-year-old woman with a past medical history of hypertension and fibroids presents to the primary care clinic with headaches that have been occurring over the past several months. She states that the headaches occur frequently and last for a day or two. In these headaches, she experiences a bilateral, constricting sensation that she feels is compressing her skull. She denies nausea/vomiting, auras, eye pain, excess tearing, and a runny nose. She also denies trauma or any neurological symptoms. She eats a normal diet. The patient denies any other symptoms such as weight loss, fever, or chills. The patient’s temperature is 98.5 degrees Fahrenheit, HR is 80, RR is 16, and BP is 130/90. Physical exam reveals tenderness to palpation bilaterally around the temples and occipital region. What is the most likely diagnosis?A. Migraine headacheB. Cluster headacheC. Tension headacheD. Subarachnoid hemorrhage
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