Diagnosis of Headaches

Question 1

Most common headache seeking tx

Answer 1

Migraine

Question 2

Response to pain relief means

Answer 2

Nothing…but if it responds to triptan, might be migraine

Question 3

Migraine prevalnece and age

Answer 3

More in women

More from 30-50ish

Question 4

Headaches in elderly

Answer 4

Still mostly primary but more are secondary than in younger

Question 5

Heaches in children

Answer 5

Cyclic vomiting and abdominal migraine variatns

May be bilateral or shorter duration

Question 6

Family and migraine

Answer 6

40-60% in 1st degree relatives

Question 7

Core migraine (PUMA) and associated symtpoms

Answer 7

Pulsatile
Unilateral
Mod to severe
Activities make worse

Associated with aura, N/V, photo/phnophonia and cranial autonomic symptom (along with cluster)

Question 8

Throbbing/pulsating
Dull/tight
Sharp and short

Answer 8

Migraine
Tension
Icepick or neuralgia

Question 9

Gradually
Rapid (less than 1 minto max)

Answer 9

Migraine, tension

Thunderclap (SAH)

Question 10

pain duration of migraine
Tension
Cluster
Primary stabbing/neuralgia

Answer 10

4-72 in adults, >2 in peds
30 min to 7 days
15 min to 180 min
seconds to 2 min

Question 11

N/V
Photo/phono/osmophobia
CAS

Answer 11

Migraine, intracranial hypertension

Migraine, meningeal irritation

Cluster, migraine

Question 12

Polycyctic kidney dz

Answer 12

Increases risk of SAH

Question 13

Temporal arteritis

Answer 13

Jaw will get sore when chewing

Question 14

Subdural effusion

Answer 14

Could be from taking blood thinner and gradual