Your 17 year old patient has been having classic migraines for the past three months. Initially they occurred every few days but over the past month,

Your 17 year old patient has been having classic migraines for the past three months. Initially they occurred every few days but over the past month, have been occurring at least 5 days a week. Motrin, Excedrin and Tylenol have been ineffective in managing the headaches. After a three day period of not having any headaches, she developed an 8/10 right sided headache with photophobia and sonophobia two weeks ago. Her father was very frustrated when the headaches recurred and gave her a dose of his imitrex on day 4 of the headache. The first dose of the imitrex reduced the headache pain to a 4/10. He repeated the dose in 2 hours and the headache abated completely. Her headaches started again a week ago. Dad was out of his medication so nothing has been given. How do you manage this patient? Group of answer choices Trial of naprosyn 500 mg bid until headache resolution then prn; diagnostic testing with CBC, ESR, CT of the head Trial of Amitriptyline nightly; diagnostic testing with CBC, ESR, CT of the head Trial imitrex one dose now and another in an hour then prn; diagnostic testing with CBC, ESR, MRI of the head

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