You are working in your Emergency Department in the middle of Wisconsin because they pay really great moonlighting money. A 29 y female presents to you complaining of headache. She had just delivered 4 days ago by C-section. She developed signs suggestive of elevated blood pressure and an increase in her urine protein per the discharge instructions she received from the hospital. Prior to C-section, anesthesia placed an epidural. Patient stayed only 2 days in the hospital with a slight headache, treated by the morphine she was receiving post-operatively. Now her headache was pounding and the worst in her life. The nurse practitioner had given Reglan and Benadryl which only improved her pain from a 11/10 to a 10/10. Her LFTs shows a slight bump above normal AST: 87 ALT: 76. Neurologic examination demonstrates no abnormalities. How do you proceed with this case? Do you get a head CT? Does she need a lumbar puncture? Is this a postpartum issue or your regular run of the mill headache case? Let’s let the discussion begin.