A 23-year-old man comes to the physician complaining of worsen | Uworld | Step 2ck

A 23-year-old man comes to the physician complaining of worsening headache over the past week. He is "under a lot of stress at school" and having trouble sleeping because the headache is constant Two weeks ago, he had an insect bite on his right cheek and now both of his eyes are swollen. He also has lost his appetite and vomited twice today. His temperature is 38.3° C (101° F), blood pressure is 130/90 mm Hg, pulse is 104/min, and respirations are 20/min. Examination shows erythema and swelling of the right cheek and bilateral eyelid edema, right greater than left Bilateral extraocular movements are restricted. The bilateral forehead and mid-face are extremely tender to light palpation.