Headaches Flashcards
1
Q
DDx for sudden onset of “thunderclap” HA
A
Subarachnoid Headache
2
Q
DDX for prior headaches similar to present one
A
CNS infection
3
Q
DDx for focal neurological signs other than Aura?
A
(Think facial droop)
Stroke / Tumor
4
Q
DDx for symptoms such as fever?
A
Meningitis
5
Q
DDx for rapid onset of exercise?
A
intercranial hemorrhage due to brain annuerysm
6
Q
DDx for nasal congestion?
A
Sinusistis
7
Q
DDx for papilledema?
A
ICP
8
Q
Reasons for imaging (HA):
A
- Changes - frequency, severity
- Changes - vision, auras, orbital bruits
- Focal neurological deficits
- Scalp tenderness
- Exertion, cough, sex induced
- Headache after 40
- Trauma, fever, htn
- Therapy not working
9
Q
What is the most prevalent type of headache?
A
Tension HA
10
Q
Common complaints of tension HA?
A
- Bilat
- Daily
- “Vice-like”
- Caused by stress, fatigue, noise, glare
11
Q
MSK involvement with tension HA?
A
Hypertonicity of neck muscles
12
Q
Hallmarks for Tension Headache?
A
- Bilateral HA
- Women more effected
- Waxes and wanes (no throbbing)
- Neck or back of head
- No focal neuro
13
Q
Treatment for tension headaches?
A
- NSAIDS max 2.4 g
* Acetaminophen max 4g
14
Q
Cluster HA Hallmarks?
A
- Unilateral Pain
- Middle aged men
- 15min to 3 hr
- Allergies Like symptoms;
- Ipsilateral nasal congestion/rhinorrhea
- lacrimation
- Horner syndrome
15
Q
Treatment of Cluster HA
A
- O2
- Sumatriptan (unless heart conditions)
- Zolmitriptan
