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A 24-year-old woman presents to the emergency department with blurry vision. She describes having a headache that is painful. She has bilateral blurry vision that has been worsening over the past month. She denies any focal deficits or fevers but does endorse occasional nausea. The patient recently started walking to improve her health and is taking vitamin K, oral contraceptive pills, whey protein, and fish oil. She is not currently sexually active, does not smoke, and eats a diet mostly of pastries and baked goods. Her temperature is 98.0°F (36.7°C), blood pressure is 154/89 mmHg, pulse is 87/min, respirations are 16/min, and oxygen saturation is 98% on room air. Physical exam is notable for an obese woman who is closing her eyes. Neurological exam reveals 20/200 vision which is a decline from the patient's baseline and the finding in Figure A. Her gait is stable and no cranial nerve abnormalities are noted. The patient endorses some numbness in her ring finger and little finger bilaterally when she lays down and notes it currently. Which of the following is appropriate management of this patient's most likely diagnosis?
Discontinue oral contraceptive pills
Discontinue vitamin K
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