MRCP2-3501

MRCP2-3501

A 54-year-old woman presents to the medical admission unit with a severe headache that has been ongoing for the past five days. The headache is described as a constant dull pain across the front of her head, worsened by sitting up, coughing, or straining, and relieved only by lying down in a dark room. Paracetamol and ibuprofen have not provided any relief. She denies nausea or vomiting, and her vision is unaffected. Her past medical history includes non-classical migraines and hypothyroidism for which she takes levothyroxine. One week ago, she was admitted with a headache, fever, and photophobia. On examination, she is found lying flat in a dark room. Her vital signs are stable, and her neurological exam is unremarkable. What is the best next step in management?