headache differentials; what is the headache? Flashcards

1
Q

headache so bad they want to go in “dark quiet” room and not do anything

A

Migraine

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2
Q

Feels like ‘tight-band’ around head

A

Tension

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3
Q

Intense pain around one eye (recurrent attacks ‘always’ affect same side)

A

Cluster

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4
Q

pt had headache with Jaw claudication, scalp tenderness.

A

Temporal arteritis (GCA)

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5
Q

Wake up at night from headache and uses a lot of paracetamol

A

Medication overuse headache

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6
Q

Cushing’s triad

A

Raised ICP

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7
Q

what is Cushing’s triad?

-3

A

HTN, bradycardia, bradypnoea

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8
Q

Associated with aura, nausea and photosensitivity

A

Migraine

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9
Q

Patient is restless during an attack (not like migraine)

A

Cluster

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10
Q

Typically patient > 60 years old

raised ESR

A

Temporal arteritis (GCA)

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11
Q

Tender, palpable temporal artery

A

Temporal arteritis (GCA)

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12
Q

Headache
vomiting
Fundoscopy = papilloedema

A

Raised ICP

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13
Q

↓GCS

A

Raised ICP

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14
Q

cluster headache sex most at risk?

A

men

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15
Q

migraines sex most at risk?

A

females

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16
Q

cluster headache, lifestyle factor that increases risk?

17
Q

pt says Taking meds will “take the edge off” but headache quickly comes back

A

Medication overuse headache

18
Q

typical age of onset for GCA/temporal arteritis?

A

Temporal arteritis

19
Q

which headache is not aggravated by routine activities of daily living?

A

Tension headache

20
Q

which headache In women may be associated with menstruation?

21
Q

throbbing headache,
very severe,
usually unilateral?

22
Q

headache with periorbital pain.

Accompanied by redness, lacrimation, lid swelling

A

Cluster headache

23
Q

headache with raised ESR

and referred for temporal artery biopsy

A

Temporal arteritis (GCA)

24
Q

medication most at risk of causing mediation overuse headache?
-2 drug classes

A

opioids and triptans

25
tropical illness causing headache, what infection is this?
Malaria
26
ophthalmology condition that can cause acute single episode of headache?
glaucoma
27
"worst headache I've ever had" | very sudden onset
subarachnoid haemorrhage
28
causes for acute single episodes of headache? | -7
``` meningitis encephalitis subarachnoid haemorrhage head injury sinusitis glaucoma (acute closed-angle) tropical illness e.g. Malaria ```
29
are migraines unilateral or bilateral?
unilateral