2nd September 2020

Sam is a 19-year-old woman who comes to see you, her GP

Sam is a 19-year-old woman who comes to see you, her GP. You notice that she is wearing sunglasses. She has been suffering with a headache for the last day. She said the first symptom she noticed was flashing lights in her peripheral vision and she noticed she couldn’t be in her kitchen because the smells made her feel sick. She has spent most of the day lying down and said that walking to the GP surgery made the headache worse, she describes the pain as severe. She says that in the last month she has had 3 similar episodes.

Neurological exam was unremarkable.

For the patient above, please select the SINGLE most likely diagnosis. Select ONE option from the list above.