轻松拿下医学考试

Asks about onset, duration, and progression of headaches

Explores headache characteristics (location, quality, severity, timing, frequency)

Inquires specifically about worsening with Valsalva or in the morning

Asks about associated visual symptoms and progression

Inquires about associated symptoms (nausea, vomiting, focal deficits)

Clarifies response to analgesia and OTC medication use

Assesses visual acuity in both eyes

Performs confrontation visual field testing

Performs fundoscopy to assess for papilledema

Examines extraocular movements and cranial nerves II, III, IV, VI

Screens for focal neurological deficits

Assesses for meningeal signs

Recommends urgent neuroimaging prior to lumbar puncture

Suggests LP opening pressure and CSF analysis if imaging is normal

Advises early referral to neurology and ophthalmology

Discusses weight reduction and lifestyle strategies

Mentions potential acetazolamide if IIH is confirmed

Explains likely diagnosis and urgency clearly

Describes rationale for investigations and referrals

Addresses concerns and expectations

Demonstrates empathy throughout the encounter