Description

BB is a 26-year-old female graduate student with a 10-year history of headaches who presents today with debilitating unilateral headaches on the left side behind her eye, that have increased infrequency and intensity over the past two months. BB reports the headaches now occur every 1-2 weeks, lasting up to 15 hours. The patient reports having big stressors in her life related to juggling the heavy load of graduate school, working part-time as a waitress, and consumption of red wine, chocolate and junk food that may be contributing factors to these headaches. BB reports premonitory blurred vision, photophobia, phonophobia, and nausea and vomiting with the onset of the headache episodes. The patient’s vital signs, physical examination including neurological exam are within normal limits at this time. Patient states she does not have headache at this time, but she is concerned about a possible slow growing brain tumor.