<prompt> Postpartum lady after 48 hours of cesarean section, suffering from headache and signs of meningism. Headache gets relieved on lying down. Immediate treatment would be:Epidural blood patchDo lumbar punctureFoot end elevationSumatriptan  <response>: Ans. A. Epidural blood patchExplanationAs patient has signs of meningism, the treatment would be epidural blood patch.The Lybecker classification of severity for PDPH:Mild PDPH Score 1Postural headache with slight restriction of daily activities.Not bedridden.No associated symptoms.Responds well to non-opiate analgesics Paracetamol, NSAID, Caffeine.Moderate PDPH Score 2Postural headache with significant restriction of daily activities.Bedridden part of the day associated symptoms may or may not present.Requires the addition of opiate derivatives.Severe PDPH Score 3Postural headache with complete restriction of daily activities.Bedridden all day associated symptoms present photophobia, diplopia, tinnitus, nausea, vomiting.Not responsive to the above conservative management.If the question was like this: 