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

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