tension headache

Question 1

task

Answer 1

124
jm 1296/45ch

Question 2

d/d

Answer 2

-tension headache
-migraine
-cluster headache
-raised icp
-cervical spondylosis
-meningitis, trauma
-sinusitis
-temporal arteritis

Question 3

hx

Answer 3

-how long, how severe, how many episodes a day/
-relieved by PCM
-character of headache, site
-does it last the whole day, worse at end or moring
-relieving factors:
-severity?
-unusal sensation in eyes flashing light
-nausea vomiting?
-fever,
-watering or redness of both your eyes
-blurred vision
-pain while combing your hair
-neck pain
SADMA
-PMHS: DM, THYROID, HTN

Question 4

PEFE

Answer 4

GE
HEAD AND NECK “: NECK TENDERNESS, tmj, sinuses, facial muscles, teeth
CVS : BP
CNS : ophthalmoscopy, eye movements,sensory motor face limbs, plantar
MSE

Question 5

explain

Answer 5

WHAT is it?
-tight constricting pain that covers the head which is associated with stress or tension
-many of them do not realised it is associated with tension until pointed to them
WHAT CAUSES IT?
-overactivity of muscles of face, neck, scalp, like a band and a heavy object on head
TRIGGERS
* Increased tension or stress (both mental and physical),
for example:
– excessive worry
– all work—no play
– long periods of study, typing or other sustained
concentration
– perfectionism
* Increased tension in the neck muscles, for example:
– poor posture
– injuries to the cervical spine (neck)
* Repressed hostility, anger or frustration
* A poor, scrappy diet, for example eating on the run
(combined with stress

Question 6

mx

Answer 6

LIFESTYLE ADJUSTMENT
-diet, exercise, posture of neck, stress managemnt
Self-help
The best treatment is to modify your lifestyle in order to
eliminate or reduce the trigger factors. For example:
* Learn to relax your mind and body.
* During an attack, relax by lying down in a hot bath or spa
with a warm dry cloth (or even a cold wet cloth) over
the aching area.
* You could attend special relaxation courses such as yoga
or meditation classes.
* Be less of a perfectionist; do not be a slave to the clock.
* Do not bottle things up. Stop feeling guilty. Approve of
yourself. Express yourself and your anger.
* If your neck is aching, massage or mobilisation followed
by special exercises should help

PAIN KILLER
-mild like pcm, ibuprufen will be sufficient, avoid stronger painkillers