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F​‌‍‍‍‌‍‌‍‍‍‌‌‌‍‌‌‌‌‌‌​urther develop a case study based on the patient information below, which enhances our understanding of how pharmacokinetics and pharmacodynamics impact patients and the treatment of their headache. At the end of your case study pose a least 3 discussion questions which enhance understanding of family medicine and headache treatment. Include information on which first-line medication(s) you would choose and how you would monitor the following start of medication(s). What could be contributing to her symptoms? Multiple answers are potentially correct but explain why you choose the med(s) you did. When do you want to see for follow up? Red flags to watch out for?
Sarah is a 21-year-old Nursing student who has experienced headaches of​‌‍‍‍‌‍‌‍‍‍‌‌‌‍‌‌‌‌‌‌​f and on her whole life but is presenting in your office today because they have become bothersome and increasingly worse over the past 2 months (now unrelieved without medication). Describes her headaches as throbbing, usually in the front and back of her head. They tend to come on with increased stress. Are partially relieved with rest and Excedrin but lately has had one headache a week which doesn’t go away with her typical treatment and last 20+ hours. Nausea and photophobia are positive. Has never been on prescription medication for headaches. Incidentally was involved in a car accident last year with no injury but a CT was performed as a precaution and no intracranial abnormalities exist. Overall she just wants to feel better​‌‍‍‍‌‍‌‍‍‍‌‌‌‍‌‌‌‌‌‌​.

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