HEADACHE Flashcards
(27 cards)
headache key history: location
UL vs BL
headache key history: quality
dull vs stabbing
headache key history: intensity
worst headache of their life
headache key history: timing
duration, frequency, progression, day/night/sleep
headache key history: assoc sxs
aura
neuro sxs (paresthesias, visual sxs, weakness, numbness, ataxia, photophobia, dizziness, neck stiffness)
n/v
jaw claudication
dental surgery
sinusitis sxs
constitutional sxs (fever, WL, night sweats)
headache key history: exacerbating factors
stress, fatigue, menses, exercise, certain foods, alcohol
headache key history: alleviating factors
rest, medications
headache key history: hx/fam hx
patient and family history of headache; hx of trauma
headache key PE
VS insp/palp head and neck ENT complete neuro exam (incl fundo) meningeal signs
migraine ddx
tension ha cluster ha TIA partial seizures pseudotumor CNS vasculitis focal seizure intracranial neoplasm
migraine w/u
MRI brain
CT head
CBC
ESR
cluster ha ddx
migraine
trigeminal neuralgia
intracranial neoplasm
tension ha
cluster ha w/u
MRI brain
CT head
CBC
ESR
temporal arteritis ddx
vasculitis migraine cerebral abscess cluster ha tension ha meningitis carotid artery dissection pseudotumor trigeminal neuralgia intracranial neoplasm TMJ disorder
temporal arteritis w/u
temporal artery bx esr crp cbc doppler u/s carotid mri brain
sinusitis ddx
migraine tension ha cerebral abscess meningitis intracranial neoplasm
sinusitis w/u
cbc
xr sinus
ct sinus
tension ha ddx
migraine caffeine/analgesic wd depression intracranial neoplasm cluster ha pseudotumor
tension ha w/u
cbc elytes esr mri brain lp -- csf analysis mri brain
subarachnoid hemorrhage ddx
meningitis/encephalitis intracranial hemorrhage vertebral artery dissection intracranial venous thrombosis migraine hypertensive encephalopathy intracranial neoplasm
subarachnoid hemorrhage w/u
ct head w/o lp -- opening pressure and CSF analysis cbc pt/ptt/inr urine tox digital subtraction angiography mri brain ct angio
meningitis ddx
sah encephalitis sinusitis migraine intracranial or epidural abscess
meningitis w/u
lp -- csf analysis (cell count, pr, gl, gram stain, PCR specific pathogens, culture) blood cx cbc ct head mri brain pt/ptt/inr
pseudotumor cerebri ddx
migraine tension ha intracranial venous thrombosis intracranial neoplasm cluster ha meningitis
