Patient reports that the headaches are severe enough to incapacitate him for the duration. He has associated flushing, tearing of his left eye and nasal congestion with every headache. A 32 year old black female presents with a complaint of headache. She reports a sudden onset of pain two days ago. She denies any history of previous headaches and expresses the opinion that she's never had a headache as bad as this.
Patient appears to be in severe pain.
Her physical examination is otherwise within normal limits except for a mild bilateral weakness in her hands. Refer patient to a psychiatrist.