headache differentials; what is the headache?

Question 1

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

Answer 1

Migraine

Question 2

Feels like ‘tight-band’ around head

Answer 2

Tension

Question 3

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

Answer 3

Cluster

Question 4

pt had headache with Jaw claudication, scalp tenderness.

Answer 4

Temporal arteritis (GCA)

Question 5

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

Answer 5

Medication overuse headache

Question 6

Cushing’s triad

Answer 6

Raised ICP

Question 7

what is Cushing’s triad?

-3

Answer 7

HTN, bradycardia, bradypnoea

Question 8

Associated with aura, nausea and photosensitivity

Answer 8

Migraine

Question 9

Patient is restless during an attack (not like migraine)

Answer 9

Cluster

Question 10

Typically patient > 60 years old

raised ESR

Answer 10

Temporal arteritis (GCA)

Question 11

Tender, palpable temporal artery

Answer 11

Temporal arteritis (GCA)

Question 12

Headache
vomiting
Fundoscopy = papilloedema

Answer 12

Raised ICP

Question 13

↓GCS

Answer 13

Raised ICP

Question 14

cluster headache sex most at risk?

Answer 14

men

Question 15

migraines sex most at risk?

Answer 15

females

Question 16

cluster headache, lifestyle factor that increases risk?

Answer 16

smoking

Question 17

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

Answer 17

Medication overuse headache

Question 18

typical age of onset for GCA/temporal arteritis?

Answer 18

Temporal arteritis

Question 19

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

Answer 19

Tension headache

Question 20

which headache In women may be associated with menstruation?

Answer 20

Migraine

Question 21

throbbing headache,
very severe,
usually unilateral?

Answer 21

migraine

Question 22

headache with periorbital pain.

Accompanied by redness, lacrimation, lid swelling

Answer 22

Cluster headache

Question 23

headache with raised ESR

and referred for temporal artery biopsy

Answer 23

Temporal arteritis (GCA)

Question 24

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

Answer 24

opioids and triptans

Question 25

tropical illness causing headache,

what infection is this?

Answer 25

Malaria

Question 26

ophthalmology condition that can cause acute single episode of headache?

Answer 26

glaucoma

Question 27

“worst headache I’ve ever had”

very sudden onset

Answer 27

subarachnoid haemorrhage

Question 28

causes for acute single episodes of headache?

-7

Answer 28

meningitis
encephalitis
subarachnoid haemorrhage
head injury
sinusitis
glaucoma (acute closed-angle)
tropical illness e.g. Malaria

Question 29

are migraines unilateral or bilateral?

Answer 29

unilateral