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The CS First Aid book says order CBC Electrolytes ESR CT head LP as examples of studies for a tension headache. Imagine a world where we scanned and did an LP on every tension headache presenting to their family practice physican lol.
Is it the right thing to do on CS to say "today you present with what you state is your normal level of pain for your headache, which i believe is due to a migraine. This is a clinical diagnosis and does not warrant bloodwork or imaging studies. Let's see how you do with chlorpromazine to help with your nausea and propranolol daily to ward off further attacks. You may also be having a tension headache; we can try advil if the above does not help."
Is it the right thing to do on CS to say "today you present with what you state is your normal level of pain for your headache, which i believe is due to a migraine. This is a clinical diagnosis and does not warrant bloodwork or imaging studies. Let's see how you do with chlorpromazine to help with your nausea and propranolol daily to ward off further attacks. You may also be having a tension headache; we can try advil if the above does not help."