A patient reports severe headaches and chronic tingling in their arms and legs. Which specialty should the provider refer the patient to for consultation?

The symptoms described—a combination of severe headaches and chronic tingling in the arms and legs—are indicative of potential neurological issues. Neurologists specialize in diagnosing and treating conditions related to the nervous system, which includes the brain, spinal cord, and peripheral nerves.

Severe headaches could signify various neurological disorders, such as migraine or tension headaches, or even more serious conditions like a hemorrhagic stroke or a neurological infection. The tingling sensation, also known as paresthesia, can originate from nerve damage or irritation, which may also fall under the purview of neurological disorders.

Therefore, referring the patient to a neurologist allows for a comprehensive evaluation of their symptoms, including further diagnostic testing such as MRIs or nerve conduction studies, to identify any underlying neurological conditions that may be causing their distress. The other specialties mentioned—cardiology, endocrinology, and orthopedics—do not typically address the neurological aspects suggested by the patient's symptoms.