Headache & EOR Flashcards
most often due to a reaction to trigger substances
vascular
Cause of vascular headache
something that the patient has ingested in the prior 24 hrs
Characteristic of vascular headache
dull or throbbing
location of vascular headache
frontal
fronto-temporal portion
occipital
True or false
Vascular headache is only present on awakening of patient and does not awaken patient in the morning
False
Vascular HA is present on awakening and may also awaken the px in the morning.
Both astigmatic/ocular headache and vascular headache are with occipital pain, give ddx
Vascular - present in the morning
astigmatic/ocular headache - present in the afternoon
2 types of psychogenic headache
Tension-anxiety
Conversion-hysteria
result of normal physiological concomitants, anxiety equivalent or emotional tension which is accompanied by spam and contraction of the cervical and scalp musculature (muscle pain)
Tension-anxiety
Tension-anxiety is a result of normal physiological concomitants, anxiety equivalent or emotional tension which is accompanied by
spam and contraction of the cervical and scalp musculature (muscle pain)
an attempt to the part of the px to relieve an emotional tension
conversion hysteria
Location of tension headache
Frontal
Occipital
Muscle pain
is a dull, deep aching and non-pulsating headache felt in the frontal and maxillary regions.
Sinus headache
character of sinus headache
dull
deep aching
non-pulsating
location of sinus headache
frontal and maxillary
Sinus headache is more severe in the 1._______ and diminishing 2. ___________________ except for the maxillary sinusitis, in which the pain often begins in the ____________and relieved by ________.
- morning
- later in the day
- early afternoon
- recumbency
Character of intracranial disease headache
- constant, more or less severe, deep & steady
- sharp in nature
Location of intracranial HA
top or front of the head and occipital
evidence of neurological dysfunction
Intracranial HA with bursting pain and often associated with vomiting
disappearing with changes in the position of the head, is characteristic of
ventricle tumor
the pain is characterized by sudden, violent and paroxysmal that usually lasting for a matter of second
neuralgia
Neuralgia is described as
tearing, knife-like or stabbing pain
Neuralgia attacks can be precipitated by pressure on trigger area, which are at the:
supraorbital foramen or in the lateral neck area