ECR 11.29.12 Headach History and Diagnosis Flashcards
What are primary headaches (4)
Migraine
Tension Type (TTH)
Cluster
Other (benign cough headache)
What are secondary types of headaches
Infection
Hemorrhage
Increased ICP (intracranial P -DO NOT MISS)
Brain Tumor
What Questions should you ask when taking Headach History (5)
- Ask how many different types of headaches you have
- How long have you had it?
(if chronic, okay; if sudden worst ever–> CAT scan) - What do you think it’s due to?
- Where is it lcoated?
- What is it like?
What is temoporal pattern of Migraine
lasts 203 days
Episodic headaches
What is temporal pattern of Tension Headache
constant
~6 months
What is temporal pattern for cluster headache
painful stimulus ;
What is temporal pattern for Tumor/inracranial neoplasm
progressive with time
What are migraine triggers (7)
Phsyical exertion
Diet
Hormonal changes
Head Trauma
Stress and anxiety
Sleep deprivation or excess
Environmental factors
Why is pain localized to front of head (referred pain>
TRIGEMINAL N. above tentonum
If stretched–> Trigeminal N.
When do you have pain back of head
T9-T10
how deos IHS determine if its migraine?
> 5 attacks lasting 4-72h
What is timing of migrains (IHS)
> 5 attacks lasting 4-72 h
What are qualities of migraines (IHS)- need >2
Unilateral
Puslating
Moderate to severe intensity
Aggravation by routine physical activity
What are >1 needed for migraine (IHS)
nausea
photopobia and phonophobia
Rate /timing of Tension headache (IHS)
> 10 attacks lasting 30 mins-7 days