Headache

Question 1

what is first complaint of brain tumor

Answer 1

seizure

Question 2

main reasons why people seek care for headaches

Answer 2

chronic

severity

Question 3

primary vs secondary

Answer 3

primary - no organic cause - ex. cluster, migraine, tension

secondary - organic cause

Question 4

do headaches have normal neural exam

Answer 4

yes

Question 5

first or worse

Answer 5

most are primary

Question 6

red flags

Answer 6

diplopia, vision, stiff neck, unilateral paresthesia, ataxia

headache after 50 - temporal arteritis

increasing frequency and severity

Question 7

onset - sudden and severe

Answer 7

secondary – think vascular!

Question 8

migraine are more prevalent in who

Answer 8

women 10:1

Question 9

always starts on one side and moves globally

Answer 9

migraine

Question 10

frontal temporal most common

Answer 10

migraine

Question 11

pulsatile and throbbing

nausea and vomiting

Answer 11

migraine

Question 12

foods with tyramine and nitrates cause

Answer 12

migraines

Question 13

usually visual

Answer 13

prodrome

Question 14

abdominal pain

Answer 14

childhood migraine

Question 15

looks like transient ischemic attack and called another name

Answer 15

vasospastic migraine

aka basilar migraine

Question 16

prodrome without headache

Answer 16

atypical migraine

Question 17

headache without prodrome

Answer 17

common migraine

Question 18

cold on hands and neck

warm on hands and feet

Answer 18

non med rx for migraines

Question 19

during prodrome or between episodes

Answer 19

when we adjust! head to toe - best time for acute care

Question 20

more common in males 10:1

Answer 20

cluster headaches

Question 21

eyes becomes bloodshot

Answer 21

cluster headaches

Question 22

red hot poker or acid being poured into the nose or eye

Answer 22

cluster headaches

Question 23

exacerbated by alcohol

Answer 23

cluster headaches

Question 24

check tmj

Answer 24

tension headache

Question 25

relieved by massage, otc, exercise, alcohol

Answer 25

tension headache

Question 26

alleviated by alcohol

Answer 26

tension headache

Question 27

chronic and persists overnight which may last for years

Answer 27

tension headache

Question 28

punch drunk fighter

Answer 28

post concussive syndrome

Question 29

lateral or rotational forces are more damaging than sagittal - diffuse axonal injury

Answer 29

post concussive syndrome

Question 30

the eye is not involved

Answer 30

trigeminal neuralgia

Question 31

red hot poker being pushed up the nose or eye is surrounded in rim of agony

Answer 31

trigeminal neuralgia

Question 32

attacks may occur once or twice a day and can occur every 1 to 2 min

Answer 32

trigeminal neuralgia

Question 33

elderly 60+, increasing severity and frequency

Answer 33

trigeminal neuralgia

Question 34

simultaneous onset of vertigo, nausea, and headache

Answer 34

subarachnoid hemorrhage

Question 35

may look like exertional headache

Answer 35

SAH

Question 36

common post trauma - whiplash MVA

Answer 36

occipital neuralgia

Question 37

worse in AM while still in bed

Answer 37

hypertension headaches

200/120

Question 38

worse when lying down

Answer 38

intercranial mass

Question 39

increases pain with flexion, pressure, and pounding

Answer 39

sinusitis

Question 40

add fever to SAH

Answer 40

meningitis

Question 41

fat fertile girls

Answer 41

pseudo tumor cerebri

Question 42

due to excess estrogen

Answer 42

pseudo tumor cerebri

Question 43

severe headache that occurs at base of skull before orgasm

Answer 43

coital cephalgia

Question 44

referred to as explosive headaches

Answer 44

coital cephalgia

Question 45

male greater than female 3:1

Answer 45

coital cephalgia

Question 46

peyronies disease reported rarely

Answer 46

coital cephalgia