Manisha Bhide, MD
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Bhide M. Headache. Ann Intern Med. 2008;148:882. doi: 10.7326/0003-4819-148-11-200806030-00012
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Published: Ann Intern Med. 2008;148(11):882.
Asra came to me with a headache. She was a well-built, middle-aged woman with close cropped hair graying at the temples. Her eyes engaged my attention. They were brown, deep-set with dark circles. She had a pinched expression on her face as if her temporal muscles were in eternal spasm.
I thought I was well equipped to handle any headache. I knew about temporal arteritis and regarded myself as an expert in peering through undilated pupils to check for papilledema. I was adept at recognizing the red flags of projectile vomiting, morning headache, and neck stiffness. I had triptans and tricyclics for migraines. I had trained well during my neurology rotations. My armamentarium seemed adequate.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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