Your first patient of the day is a 46-year-old female with a history of migraine headaches who presents with a severe, constant pain that started suddenly while running. She admits this ?feels different than my normal headaches.? On examination, she appears ill and is vomiting. Her neurologic examination demonstrates mild neck stiffness. She asks for a refill of her sumatriptan, which ?always works for my headaches.? While she has a known primary headache disorder, the features of her headache are concerning.
What do you do next?
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Last Updated on January 26, 2023