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Jim is a 17-year-old who was brought into the clinic today for a headache

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Case Scenario 2: Jim is a 17-year-old who was brought into the clinic today for a headache. He reports nausea and an increase in stress from school and after-school activities (basketball practice and debate team). His vital signs are within normal limits and his BMI is 24.

• What more should you know about Jim? • What information in your history and exam would be red flags suggestive of secondary or pathologic headaches • What education would you provide for Jim and his parents?

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