Ms. Emily Parker is a 38-year-old female who presents for evaluation of recurring headaches. Ms. Parker appears alert but mildly fatigues and reports “I’ve been getting dull headaches almost every day which are very annoying.”
Ms. Parker has a history of mild to moderate headaches for the past six months that occur on four to 5 days per week and typically last for three to four hours. She describes the headaches as bilateral and starting at the back of the head, radiating to the forehead. The headaches are a dull, pressing headache with a sensation of something tightening around her head that she rates as a 5 out of 10 pain. She has tried acetaminophen over the counter when they come on, but this doesn’t seem to help. She does usually feel better if she can rest in a quiet room for
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