33 year old male with unilateral headache

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33 year old male patient fisherman by occupation ,came to opd with

 c/o headache since 1 year on and off and stiffness of joints  since 3 months .

Patient was apparently asymptomatic 1 year ago , then he developed headache which is u/L right side ,dull aching pain .
Not associated with photophobia, phonophobia, watering of eyes, blurring of vision, vomitings. Since 3 months he developed stiffness of joints .not associated with restriction of movements,difficulty in standing from sitting position, fever, abdominal pain,cough, cold , diarrhoea.

Past history

N/k/c/o DM,HTN,CVA,CAD,TB,EPILEPSY 

Examination

Patient is conscious, coherent, cooperative 
No signs of pallor, icterus, cyanosis, clubbing, lymphadenopathy.

Vitals

Bp:120/80 mm hg 

Pulse rate :86bpm 

Temperature: afebrile

 spo2 - 99

Systemic examination

CVS : s1,s2 positive,no murmurs

RS: BAE +,NVBS 

CNS:NFND 

P/A: soft, non tender .

Treatment

Tab naproxen 250mg PO/OD sos

Tab pantop 40mg PO/OD