Cаse Study # 1: Pleаse reаd the case and answer the questiоns that fоllоw. A 41-year-old female presents to the neurology clinic for worsening migraines. She reports a 10-year history of migraine with aura. Over the past 3 months, frequency has increased to 5–6 episodes per month. Migraines typically begin with flashing lights and blurred peripheral vision lasting 20–30 minutes, followed by unilateral throbbing pain rated 8/10, nausea, photophobia, and phonophobia. Headaches last 12–24 hours if untreated.She reports missing work twice this month due to migraine severity.Medical history:Hypertension (controlled with lisinopril 10 mg daily)Hyperlipidemia (LDL 162 mg/dL)BMI 31Former smoker (20 pack-years; quit 2 years ago)No known coronary artery diseaseCurrent medications:Lisinopril 10 mg dailyCombined oral contraceptive pill (ethinyl estradiol/norgestimate)Occasional acetaminophen (minimal relief)No prior triptan useVital signs:BP 138/86HR 78BMI 31The provider prescribes sumatriptan for acute migraine attacks and schedules follow-up in 6 weeks.
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