Describe some of the regulations and quality standards (e.g., CMS,

Neurology Homework #1 Sandy, a 46 year old female, presents to your practice with a complaint of frequent headaches. She states the headaches are happening at least 3 times per week. She admits to having these headaches since she was a teenager but the headaches seem to be worsening the past 6 months in intensity, frequency, and duration. She describes the headaches as “throbbing” and seem to hurt on only one side of her head. She states she “knows they are coming because my vision gets funny.” The headaches have become so severe she often vomits for hours. Sandy says that nothing relieves the headaches but Motrin and ice sometimes help reduce the pain. She usually just has to wait a few hours for the headache to resolve. Sandy’s past medical history includes anxiety and hypertension. She is currently on amlodipine 5mg po daily and this is controlling her blood pressure well. She takes Lexapro for the anxiety. Her family history is significant for migraine headaches in both her mother and brother. Her lab work is unremarkable except for an elevated FSH level, and her physical exam is normal. She has no neurological deficits. Sandy admits that her menstrual cycles are becoming erratic. She has gained approximately 20 pounds in the past year and does not exercise. She is also under a lot of job stress.

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