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you were working as a locum in a surgery and your duty doctor it is 10:00 a.m. on Monday and youre working your way through a long list of telephone calls you have appointments free this afternoon to review patients if you need to the next telephone call is for the following patient hello doctor hello is that Rachel oh yeah hi its Rachel Bell here not a problem how can I help today Ive had this really bad headache for the last 24 hours and Im just at my wits end I dont know what to do okay can you tell me a little bit more about this headache and yeah sure and basically my head is hurting and its robbing quite a lot and I have taken paracetamol yeah yeah Im sure theres a lot we can do to help can I ask you a few questions first you say youve had it for 24 hours did it come on suddenly or did it gradually build up so it got worse and you say its round the whole head the whole had sort of throbbing yeah no it sounds nasty Id ask a few more questions if thats okay on about th