A 32 year old female presents to her primary care physician complaining of frontal headaches for over one week. She states the location of her pain to be on top of her eyebrows with radiation to the top of her head. She states she has been more fatigued than usual and has some minor nose congestion. She denies any visual disturbances, nausea, vomiting, cough or fever. You should:
a) Send her to the emergency room for emergent evaluation as she may be having a brain bleed
b) Advise rest and fluids with an anti-inflammatory such as Advil and reassure her she most likely has a viral sinus infection
c) Do nothing
d) Send her for a CT of the head and give steroids
A. Send her to the er for an emergent evaluation. They will do a neuro check, as well as scan(CT) her head. So they can rule out a possible stroke(brain bleed).
