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Question
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A 16-year-old male suffers sharp, stabbing pain across his entire head each time he coughs. The pain is severe but resolves quickly after coughing. Which of the following should be done?
Explanation
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Primary cough headache is the most commonly associated with an underlying structural cause, including a Chiari I malformation or aneurysm<br><br>Patients may also have similar pain with other Valsalva maneuvers. MRI should be performed to identify such a cause.
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Reference
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Bradleys NiCP, 7th edn, Ch. 103
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Option 1
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Is Correct (Option 1):
Daily antihistamine
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Option 2
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Is Correct (Option 2):
Amitriptyline
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Option 3
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Is Correct (Option 3):
Moist O2 inhalation
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Option 4
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Is Correct (Option 4):
Cranial magnetic resonance imaging (MRI)
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