A 36-Year-Old Man with Persistent Headache

NEJM Evid. 2024 Sep;3(9):EVIDmr2400172. doi: 10.1056/EVIDmr2400172. Epub 2024 Aug 27.

Abstract

AbstractMorning Report is a time-honored tradition where physicians-in-training present cases to their colleagues and clinical experts to collaboratively examine an interesting patient presentation. The Morning Report section seeks to carry on this tradition by presenting a patient's chief concern and story, inviting the reader to develop a differential diagnosis and discover the diagnosis alongside the authors of the case. This report examines the story of a 36-year-old man who sought evaluation for a persistent headache and numbness on the cheek. Using questions, physical examination, and testing, an illness script for the presentation emerges. As the clinical course progresses, the differential is refined until a diagnosis is made.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Diagnosis, Differential
  • Headache* / diagnosis
  • Headache* / etiology
  • Humans
  • Male