42 F Headache and neck pain

A 42 year old female, labourer by occupation came to the OPD with the 

C/o:- headache since 5 yrs

         - neck pain since 5 yrs

Hopi: 

The patient was apparently asymptomatic 5 yrs ago then she developed headache and neckpain which was incidious in onset and gradually progressive

The headache and neckpain aggrevated on working and on prolonged sunlight exposure

Headache and neckpain were relieved on using medication

H/o of vomitings, giddiness, blurring of vision and tinnitus followed by headache

Past history: 

N/k/c/o Diabetes mellitus, hypertension, tb, asthma, thyroid, epilepsy, CAD, CVA

H/o using spectacles for headache and neckpain

Family history: insignificant

Personal history: 

Sleep- adequate

Appetite - normal

Diet-mixed

Bowel and bladder - normal and regular

Addictions- teetotaler

General examination: 

C/c/c

Moderately built and nourished

No signs of pallor, iceterus, cyanosis, clubbing, lymphadenopathy and pedal edema

Vitals: bp-100/70 mmHg 

Pr-64 cpm regular in rhythm and normal in volume

Rr-14 Bpm

Temperature - afebrile

Systemic examination:

Cvs examination: 

S1,S2 heard

No murmurs 

Rs examination: 

Normal bronchial and vesicular sounds heard

Lateral view of abdomen in comparison with bicep