Cervicogenic HA CSPE

Question 1

Red flags for serious secondary headache (godwin)

Answer 1

Sudden abrut onset
>50
Neurologic Signs Sx’s

Question 2

5 Ds & 3 Ns

Answer 2

Diziness
Diploplia
Dysphagia
Dysarthria
Drop Attacks
Ataxia
Nausea
Nystagmus
Numbness

Question 3

Sudden onset of headache with excruciating pain DDX

Answer 3

Subarachnoid Hemorrhage

Vertebral Artery Dissection

Question 4

Quick Screening Questions for Serious Pathology

Answer 4

Is the HA of recent onset

Any neurological deficits

Any cognitive changes

Any progression in freq or severity?

Question 5

Thunderclap Headache

Answer 5

Subarachnoid Hemmorhage

Question 6

Extremely Severe Occipiatal HA that may run down neck

Answer 6

Vertebral Artery Dissection

Question 7

Change in vision

Answer 7

Glaucoma
Vertebral aa
Temporal arteritis
Post Traumatic
Intracranial lesion
Intracranial Hypertension

Question 8

New headache after 50

Answer 8

SOL
Glaucoma
Temporal Arteritis

Question 9

Younger than 10

Answer 9

SOL

Question 10

Headache associated with postural change

Answer 10

SOL

Question 11

Progressive/worsening HA

Answer 11

SOL

Question 12

Oral contraceptives

Answer 12

Stroke

Question 13

3 DDX with HA associated with head trauma

Answer 13

Post Concussive

Subarachnoid Hemorrhage

Subdural/Epidural Hematoma

Question 14

Components of T4 Syndrome

Answer 14

T4 joint dysfunction
Glove Paresthesia
Headache (uni or bi)

Question 15

Jolt, Brudzinski & Kernigs test are associated with what?

Which is the best?

Answer 15

Meningitis

Jolt= best

Question 16

5 constitutional symptoms to ask patient about

Answer 16

Faver 
Malaise
Weight Loss
Fatigue
Change in appetite

Question 17

+ Flexion rotation test is associated with

Answer 17

Cervicogenic Headache

Question 18

Location of a cervicogenic HA

Answer 18

Unilateral
Starts in neck
Moves to back of head
Can skip to affect over eye

Question 19

Key questions to ask to differentiate CGA from Migraine

Answer 19

Where does HA start?
- neck= CGH

Does it move side to side?
- side to side= Migraine

If HA is bilateral, does one side hurt more?
- Yes= CGH

Question 20

Location of Migraine HA

Answer 20

Unilateral
Eye
Supraorbital

Question 21

Hx questions to rule in tension HA

Answer 21

Mild/moderate
Bilateral
Pressing/tightneing

Question 22

Pertinent negatives in Hx to rule out Tension HA

Answer 22

Nausea Vomiting

Photophobia/Phonophobia (may be one, but not other)

Question 23

Quick screening questions for serious pathology

Answer 23

Is the headache of recent onset?

Is there any progression in sevarity/frequency

Was onset sudden and severe?

Any cognitive changes?

Question 24

3 warning flags for serious disease associated with headache

Answer 24

Sudden/severe onset

Age >50

Associated neurologic signs