A 25-year-old woman comes to the physician because of a severe headache for 1 hour. Every day of the past week, he has experienced 3-4 episodes of severe pain over his left forehead. Each episode lasts around 30-45 minutes. He has been using acetaminophen for these episodes, but it has provided only minimal relief. He has no history of serious illness and takes no other medications. He has smoked one pack of cigarettes daily for 7 years. He appears anxious. Vital signs are within normal limits. There is conjunctival injection and tearing of the left eye with ptosis. The remainder of the physical examination is unremarkable. Which of the following findings is most suggestive of cluster headache in this patient?

Question

Quizplus · Accepted Answer

Eductional Objective: Cluster headaches often present with rapid-onset, severe, unilateral pain accompanied by ipsilateral autonomic symptoms (eg, ptosis, miosis, nasal congestion, conjunctival injection).

A 25-Year-Old Woman Comes to the Physician Because of a Severe