1. Gina, a 15-year-old girl presents to the pediatrician's office with new-onset daily headaches. The headaches are described as moderate to severe and throbbing in character, occurring almost daily with persistent symptoms that may have waxing and waning intensity. She wakes up in the morning with headaches and headache gets better throughout the day. Sometimes headaches are associated with seconds of visual obscurations. Additionally, she reports intermittent blurring of vision, and pulsatile tinnitus. Based on this information, which history and examination findings would you like to obtain for this patient?
2. You saw Gina back in the clinic, and after obtaining a detailed history and evaluation by different specialists, including ophthalmology (where papilledema was identified) and neurology, you are now certain that she has idiopathic intracranial hypertension (IIH), most likely triggered by the initiation of her acne medications. Her BMI is 28. You decide to pursue an MRI. What are characteristic findings noted in IIH on MRI? (Multiple options may be correct.)
You are now convinced that Gina has IIH. What is the next best treatment strategy?
