headache Flashcards
questions to ask tension headache
nature of pain? non-throbbing.
aggravating factors? worse under pressure or stress
does it get worse during physical activity? no
the severity of pain? mild to moderate pain
do you feel nauseous/ photophobia?
duration of the headache? 7 days max
location of pain? bifrontal or generalized
frequency? at least 10 episodes per month, daily for 3 months should be referred.
onset in people 20-30 years?
more prevalent in women.
Migraine women questions to ask? 18 questions
Migraine women
age? over 50 years and first time headache should be referres
Nature of the pain? throbbic and pulsating pain
Location of the pain? temporal lobe, same with tension headache.
Severity of the pain? moderate to severe
How long does an attack last? 4-72 hours.
aggravating factors? exercise and movement worsens the pain, stress, missed meals, excessive caffeine intake, lack of exercise and mensturation.
Any other associated symptoms? tired and irritable.
more common in worse?
Describe symptoms
Do you feel sick?
Are you affected by light?
How long have you had these symptoms?
Is there a time that it is worse or better?
Is there a particular point in a month that this happens?
Family history?
frequency
Have you had any eye tests before?
Any otc (drug history)?
Previous history of presenting complaints?
Past medical history?
Social history?
Cluster headache questions to ask? 19
Cluster headache
Nature of the pain? sharp pulsating boring pressure-like pain.
How long does an episode last for? 15-180 minutes episodes
Describe symptoms?
always restless or may pace the floor.
Any other associated symptoms
nasal congestion, watery eyes, facial flushing, sweating, restlessness or irritability. sleep disturbance after 2-3 hours
Does it occur at the same time of the day?
Are you affected by light?
How long have you had these symptoms?
Location of the pain?
uni lateral pain
Is there a time that it is worse or better?
Is there a particular point in a month that this happens?
The severity of the pain (>7)?
Frequency of the pain?
Have you had any eye tests before?
Any otc (drug history) Previous history of presenting complaints?
Past medical history?
Social history? alcohol can trigger.
Family history?
tension-type headache?
pressure or tightness around their head.
can start around their neck.