A 63-year-old woman returns to her family physician with continuing headaches for 9 months. She describes the pain as “constant . . . always with me,” around her entire scalp. She does not appreciate many variations throughout the day, and she cannot name any aggravating or alleviating factors.
Although she occasionally feels light-headed when in severe pain, she denies photophobia, visual changes, nausea, or vomiting. She is especially upset about the headaches as she retired in the past year and has been unable to visit her infant granddaughter. Complete neurologic examinations, computerized tomography, magnetic resonance imaging, laboratory studies, and lumbar punctures have been unremarkable. What are the diagnosis and best management approach for this patient? *This patient case is from Docplexus Editorial Team for educative purpose only. Source: Case Files Psychiatry The answers…
