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CASE 1

A 32-year-old man comes to you with severe right-sided periorbital and retro orbital pain. When you inquire about pain, you found that it occurs several times a day. Headaches last no longer than 30 minutes. During attacks, his right eye waters, his right nostril feels congested, and his face perspires and headaches start abruptly and usually occur at night.

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What is your diagnosis?

1. Migraine
2. Cluster headache
3. Temporal arteritis
4. Trigeminal neuralgia
5. Tension headache

Which one of the following would be an effective treatment in this patient?

1. Massage over the painful area
2. Sublingual nitroglycerin
3. Nasal oxygen
4. Cover the eye with a pack
5. Antidepressant drug

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_{Dr. Chool Liyanapatabendi}