Aches And Tears

Nervous System & Special Senses


Step 1: View Clinicals

{"ops":[{"insert":"A 22 year old man presents with a recurrent, severe headache in the left periorbital region for 5 months, which occurred between 5 to 10 times each day.\n\nThe episodes were abrupt in onset, lasted between 30 minutes to 2 hours, and were accompanied by lacrimation and rhinorrhea.\n\nThere was no aura or any obvious precipitating factors. His medical and surgical histories are unremarkable.\n\nHe had self-medicated himself with acetaminophen (paracetamol) and ibuprofen so far.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-180_en.png"}},{"insert":"\n"}]}

Step 2: Order Relevant Investigations

1. MRI + MRA brain
2. Temporal artery biopsy
3. PET Scan : Brain
4. Lumbar Puncture

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