A 23 year old female with headache and acute urinary retention

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A 23 year old female farmer by occupation presented to OPD with chief complaints of 

Headache since 10 days

Inability to pass urine since 10 days

Fever since 5 days

Vomiting since 5 days

Patient is a rice field farmer and a mother of 2 children. She studied till 10th standard. She got married at the age of 16. She had her first pregnancy at the age of 17 

     Patient was apparently asymptomatic 10 days ago then she developed diffuse headache which was sudden in onset dragging type radiating towards neck which aggravated on talking, rotating the head and  relieved on taking medication, it is associated with nausea and phonophobia.