secondary HA

Question 1

acute HA c focal neuro deficits

Answer 1

cerebrovascular disease - cerebral infarc, cerebral hemorrhage

Question 2

chronic HA c focal neuro deficits

Answer 2

mass lesions - tumor, abscess or hematoma

Question 3

acute HA c ICP

Answer 3

CBV disease - subarachnoid hemorrhage or stroke

CNS infection - acute meningitis

Question 4

chronic HA c ICP

Answer 4

mass lesions - meningioma, glioma and metastasis

CNS infection - chronic meningitis, TB

Question 5

acute HA c meningeal irritation

Answer 5

CBV disease - subarachnoid hemorrhage

CNS infection - acute meningitis

Question 6

chronic HA c meningeal irritation

Answer 6

CNS infection - chronic meningitis, TB

Question 7

acute HA s focal neuro deficits, ICP or meningeal irritation

Answer 7

primary HA - migraine

seizure disorders

Question 8

chronic HA s focal neuro deficits, ICP or meningeal irritation

Answer 8

primary HA - migraine or tension type

Question 9

HA features that would suggest secondary HA

Answer 9

First time HA

Severe Different (from previous experienced HA)

Onset after age 50

Onset after head trauma

Onset after Valsalva maneuver

Exacerbated by head positions

Question 10

focal neurologic deficits that would suggest secondary HA

Answer 10

Hemiparesis, seizures, cranial nerve deficit, mental changes

intracranial pressure Vomiting, diplopia, altered sensorium, papilledema

Question 11

ssx of meningeal irritation that would suggest secondary HA

Answer 11

Nuchal rigidity, photophobia, vomiting

(+) Brudzinski/Kernig

Question 12

hx of bleeding diathesis that would suggest secondary HA

Answer 12

hypercoagulable

cancer

AIDS