This week's Practice Management section has been provided by the BridgeBuilders Eye Clinic of Dallas Fourth Year Students from the University of Houston College of Optometry
A 31-year-old obese black female presented to clinic with a complaint of frequent, severe headaches and blurred vision. The headaches started approximately one year prior, and have worsened over the past few months. The episodes have recently become so painful it awakens the patient from sleep, and she reports nausea with vomiting when her headaches are the most severe. She denies use of medications, with the exception of over the counter analgesics. She does not feel the blurred vision is associated with the headaches because it is constant, regardless of systemic symptoms. All other aspects of her medical history are non-contributory.
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