DDX

Question 1

Headache, Throbbing one sided that lasts 4 hours, auras, flashes of light, weakness on side of body for few minues, often nausea and vomiting, Fam hx of migrants

Answer 1

Complicateed migraine,
tension headache
cluster headache
Intercranial neoplasma
pseudotumor cerebri

Question 2

Workup for:

throbbing one sideed headache lasting 3 hours with aura, minuetes of weakness/numbness, n/v.

Answer 2

CBC- infection: meningitis
ESR - inflammation: temporal arteritis, vasculitis.
CT- Space occupying lesion: intercranial neoplasm
MRI - Intercranial neoplasm
LP- Lipid pannel, stroke

Question 3

Migraine:
Risks:

Answer 3

episodic, recurrent painful paroxysm of moderate to severe throbbing pain, unilateral, from 4-72 hours. with or without aura, n/v, more common in females,
Risk: fam hx, gender, meds, hormones, diet.

Question 4

Cluster Headache

Risks:

Answer 4

Primary HA, multiple attack, excruciating, unilateral, sharp stabbing pain, periorbital area/temple with ipsilateral autionomic disfucntion:
tearing, eye readness, nasal congestion, ptosis, miossis.
Wakes patient.
15-180min
Risks: Male, smokeing, Clinical dx

Question 5

Tension headache:

Answer 5

Bilaterral mild to moderate pain and pressure.
occiput pain.
Primary, stress.

Question 6

When to image headache

Answer 6

New onset > 50, 
First or Worst, change in pattern
prolongued bizzar aura 
Focal neurologic findings. 
worse with valsalva

Question 7

trigeminal nuralgia

Answer 7

episodic, paroxysmal severe facial pain lasting seconds to minutes, precipitated by trigger. caused by compression of trigeminal nerve ?
- MRI