A 36-year-old woman comes to the physician because of multiple episodes of headache over the past 3 months. The headaches last the entire day and are unilateral and throbbing. During the headaches, she has severe nausea and is unable to work and perform her daily activities. She has noticed that she becomes unusually hungry prior to the onset of headache. She locks herself in a dark room, takes ibuprofen, and avoids going out until the headache subsides. However, over the past month, the headaches have increased to 2-3 times a week and become more intense. Which of the following is the most likely diagnosis?

Question

Quizplus · Accepted Answer

Eductional Objective: Migraines are an episodic neurological disorder that results in severe, unilateral, throbbing headaches often associated with photophobia, phonophobia, and nausea/vomiting.  Migraines typically last 4-72 hours, and up to 25% of patients also develop an aura (focal, reversible neurologic symptoms that precede or accompany the headache).

A 36-Year-Old Woman Comes to the Physician Because of Multiple