Intern Report Case Discussion 1.8   Presented by Rob Klever, MD
15 year-old female with a past medical history for asthma, who
presents to the ED for a headache, myalagias and anorexia of two
days duration.  She states that her headache is constant,
located bilaterally frontal and of aching quality, relieved by
laying down, worsened with movement and has intermittent
photophobia. She reports last week that she a had a ‘stuffy
nose’ and had one episode of diarrhea and vomiting.  Her
grandmother states that took her to the pediatrician five days
ago who diagnosed her with viral illness and gave her a
prescription for amoxicillin that she took for two days then
stopped because she had felt better before developing the
headache.  Patient states that she as a mildly sore neck, but no
stiffness.  Pt reports feeling malaised.  Patient denies any
fevers, chills, nausea, vomiting, cough, congestion, wheezing,
shortness of breath, chest pain, weakness, numbness or tingling
in any of her extremities, constipation, diar