A twelve year old boy has severe headaches

Question Number 0717

A twelve year old boy has severe headaches. On examination he is noted to have shortness of breath. Investigations reveal elevated pulmonary vascular resistance and an intracardiac communication that allows right to left shunting. He has no relevant past history and has never had surgery. His hemoglobin values is 22.0 grams per deciliter Which of the following would most likely relieve his headache?

a) rifampicin
b) therapeutic phlebotomy
c) vasodilator
d) Prostaglandin E1
e) review in six months time


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