A 36-year-old woman comes to the office after a month of almos | Surgery collections Videos and quizez 2021

A 36-year-old woman comes to the office after a month of almost daily, bandlike headaches, dizziness, and fatigue. She has experienced irritability,inability to concentrate, and poor sleep of the same duration. Prior to the onset, she had an accident at work; a box fell on her head, and
she lost consciousness briefly. The patient was taken to an emergency department and all tests were normal, so she was discharged. She has had no nightmares or flashbacks of the event She has no known medical problems. She drinks 1-2 glasses of wine every evening but does not use tobacco or illicit drugs. The patient is afebrile. Blood pressure is 125/85 mm Hg and pulse is 76/min. Cardiopulmonary and abdominal examinations are unremarkable. She appears anxious but her neurologic evaluation including attention and memory is normal.