HEADACHE Flashcards
headache key history: location
UL vs BL
headache key history: quality
dull vs stabbing
headache key history: intensity
worst headache of their life
headache key history: timing
duration, frequency, progression, day/night/sleep
headache key history: assoc sxs
aura
neuro sxs (paresthesias, visual sxs, weakness, numbness, ataxia, photophobia, dizziness, neck stiffness)
n/v
jaw claudication
dental surgery
sinusitis sxs
constitutional sxs (fever, WL, night sweats)
headache key history: exacerbating factors
stress, fatigue, menses, exercise, certain foods, alcohol
headache key history: alleviating factors
rest, medications
headache key history: hx/fam hx
patient and family history of headache; hx of trauma
headache key PE
VS insp/palp head and neck ENT complete neuro exam (incl fundo) meningeal signs
migraine ddx
tension ha cluster ha TIA partial seizures pseudotumor CNS vasculitis focal seizure intracranial neoplasm
migraine w/u
MRI brain
CT head
CBC
ESR
cluster ha ddx
migraine
trigeminal neuralgia
intracranial neoplasm
tension ha
cluster ha w/u
MRI brain
CT head
CBC
ESR
temporal arteritis ddx
vasculitis migraine cerebral abscess cluster ha tension ha meningitis carotid artery dissection pseudotumor trigeminal neuralgia intracranial neoplasm TMJ disorder
temporal arteritis w/u
temporal artery bx esr crp cbc doppler u/s carotid mri brain
sinusitis ddx
migraine tension ha cerebral abscess meningitis intracranial neoplasm
sinusitis w/u
cbc
xr sinus
ct sinus
tension ha ddx
migraine caffeine/analgesic wd depression intracranial neoplasm cluster ha pseudotumor
tension ha w/u
cbc elytes esr mri brain lp -- csf analysis mri brain
subarachnoid hemorrhage ddx
meningitis/encephalitis intracranial hemorrhage vertebral artery dissection intracranial venous thrombosis migraine hypertensive encephalopathy intracranial neoplasm
subarachnoid hemorrhage w/u
ct head w/o lp -- opening pressure and CSF analysis cbc pt/ptt/inr urine tox digital subtraction angiography mri brain ct angio
meningitis ddx
sah encephalitis sinusitis migraine intracranial or epidural abscess
meningitis w/u
lp -- csf analysis (cell count, pr, gl, gram stain, PCR specific pathogens, culture) blood cx cbc ct head mri brain pt/ptt/inr
pseudotumor cerebri ddx
migraine tension ha intracranial venous thrombosis intracranial neoplasm cluster ha meningitis
pseudotumor cerebri w/u
urine hcg lp -- opening pressure and CSF analysis dilated fundo exam fundo eye exam mri brain visual fields testing
trigeminal neuralgia ddx
tension ha migraine cluster ha tmj disorder temporal arteritis intracranial neoplasm
trigeminal neuralgia w/u
mri brain
cbc
esr
