They are often throbbing, usually bitemporal and do not usually cause too much nausea, although she has vomited once or twice. She also says her vision has changed, but she went to get her glasses checked and they told her they were fine. Other pertinent history is obtained that she had a child 9 months ago, and gained 80 pounds during pregnancy. She has lost 30. On physical exam, she is obese.
Vital signs are normal.
Funduscopic exam shows bilateral disc margin blurring with a flame hemorrhage in the right. Pupils are equally reactive. Visual fields are full on finger confrontation. There is a question of mild lateral rectus weakness on the right. The rest of the cranial nerves are normal as is her strength, sensation, and reflexes.