Assume, Scene 1: A patient with repeated(up to 1-2 attacks per month) attacks of headache accompanied with vomiting and dislike for lights during the episode comes to your clinic. What do you do now? Do you use your clinical 'acumen' to make a diagnosis of migraine headache and immediately inject perinorn and diclofenac(or PCM)? Or do you adopt a serious face and ask the patient to get a MRI brain done 'urgently' to rule out 'something serious'? Scene 2: You have an elderly male complaining of having to go to urinal too many times a day, and especially bothersome at nighy.
A PR examination reveals normal sized prostrate. There are no symptoms to suggest cystitis. What do you do know? Prescribe oxybutinin for overactive bladder and send the patient home? Or, do you order an urine routine, culture-sensitivity, MRI LS to detect "any disk herniation that may be impinging on the nerves and…
