Meet Ritta DePaolo
"Please, can you do something about these headaches?"
Ritta DePaolo has come to her family doctor seeking help for early morning headaches that are accompanied by nausea and occasional vomiting.
"These headaches are making me lose my mind!" she exclaims. " Everyone's been saying that I've turned into a real witch lately, but I think it's just the pain that's making me so grouchy. And I don't need my husband's cracks about my "constipation of the brain" just because I forget a word now and then."
A regular patient at this practice, Mrs. DePaolo has a history of migraine headaches that have been successfully treated by Midrin. She is a 38-year-old dental hygienist and has three children.
Questions:
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- 1. What could be causing Ms. DePaulo's headaches?
- 2. What kinds of questions would you ask Ms. DePaulo to get more information that would rule out some causes and support other ones?
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