Headache Flashcards
1
Q
How do you take a headache history?
A
Patient demographics SQITARS Triggers Timing - length + onset Associated symptoms Why come in now?
2
Q
What are the red flags?
A
Thunderclap headache Crescendo headache Neurological dysfunction Fever + Rash + worsening headache Associated with changes in posture Recent head injury Papilledema
3
Q
What is a thunderclap headache?
A
Headache that comes on instantly
Worst headache they’ve ever had
4
Q
What is a thunderclap headache a sign of?
A
Subarachnoid haemorrhage
5
Q
What is a crescendo headache?
A
Headache that gets worse over days-weeks
6
Q
What are signs of neurological dysfunction?
A
Incoordination
Dysarthria
Visual disturbances
Eye movements
7
Q
What are the 2 categories of headaches?
A
Episodic
Chronic
8
Q
What is a chronic headache?
A
> /=3 months + >/=15 days/month
9
Q
What are some examples of episodic headaches?
A
Migraine
Tension
Cluster
Trigeminal neuralgia
10
Q
What are some examples of chronic headaches?
A
Migraine
Medication overuse
11
Q
What are some other headache causes that need to be excluded?
A
Giant cell arteritis Raised ICP Acute glaucoma Meningitis Subarachnoid haemorrhage Space occupying lesion
