system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 31-year-old woman comes to the physician because of headaches and nausea for 2 weeks. The headaches are worse on awakening and she describes them as 7 out of 10 in intensity. During this period, she has noticed brief episodes of visual loss in both eyes lasting several seconds, especially when she suddenly stands up or bends over. She is 165 cm (5 ft 5 in) tall and weighs 98 kg (216 lb); BMI is 36 kg/m2. Vital signs are within normal limits. Examination shows a visual acuity of 20/20 in both eyes with mild peripheral vision loss. Fundoscopic examination shows bilateral optic disc swelling. An MRI of the brain shows no abnormalities. A lumbar puncture is performed; opening pressure is 310 mm H2O. Cerebrospinal fluid analysis shows a leukocyte count of 4/mm3 (75% lymphocytes), a protein concentration of 35 mg/dL, and a glucose concentration of 45 mg/dL. Which of the following is the most appropriate next step in management?
assistant
Acetazolamide therapy