You are seeing a 28 yo cis man with the complaint headaches that he describes as very bothersome. He has had them
You are seeing a 28 yo cis man with the complaint headaches that he describes as very bothersome. He has had them in the past but they are happening more frequently. The headaches tend to occur 1-2 times a week with the onset mostly in the afternoon. He describes a vice-like pressure around his head. He denies nausea or vomiting though sometimes has a little photophobia. He also denies waking up at night or in the morning with a headache. He has not taking any medication as he is afraid that he has a brain tumor. His neuro exam is normal. What is the most appropriate next step in the management of his headaches? Selected Answer: Correct Prescribe ibuprofen to be taken as needed Answers: Prescribe propranolol as headache prophylaxis Order a Brain CT to rule out brain tumor Correct Prescribe ibuprofen to be taken as needed Prescribe sumatriptan to be taken as needed
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