Headaches Flashcards
Frequent HA that is worse in the afternoon or early evening. Bilateral pain that is sometimes supraorbital & other times suboccipital. HA can last for days or even weeks. NSAIDs bring relief.
Tension HA
Daily HAs. Reduced neck movement.
Cervicogenic HA
General HA. Pt has been skipping meals
Hypoglycemic HA
Abrupt onset of HA pain. Excruciating pain like never before experienced. Location is basilar area. Pt has long Hx of high blood pressure and not taking meds.
Subarachnoid Hemorrhage
HA that is worse with flexion. Intense, deep pain. Single episode.
Meningeal Irritation
Onset is AM & evening. Mild to severe HA. Throbbing. Neck stiffness worse than ever. Getting progressively worse.
Tumor
Localized general pain. Memory loss. Visual disturbances. Had a MVA recently.
Post Concussion HA => refer to ER, neurologist
HA that has a band-like location. Feels like pressure or muscle tightness. Fatigue, stress at work or home are provocative.
Muscle Tension HA
Female. Unilateral, pulsating & severe HA. Recurrent. Nausea & vomiting are associated with the HA. Vomiting sometimes brings HA relief. Hx = HAs began as a young adult.
Common Migraine HA
Pt is over 50 y/o. HA is temporal & unilateral. It is persistent, burning, aching & throbbing. Scalp is sensitive. Labs show high ESR.
Giant Cell HA (aka Temporal Arteritis)
HA has been getting worse over the past days to weeks since the car accident.
Subdural Hematoma => 911
Occipital HA. Throbbing. Pt wakes up with HA. PE shows high blood pressure and labs show high lipids.
Hypertension HA
Localized HA. Location changes with body position. It is steady & throbbing. Worse in the AM
Sinus HA
Middle-aged male. Orbital HAs that are 10/10 on pain scale. Can have groups of these HAs that last maybe 30 minutes. Pt abuses EtOH & smokes.
Cluster HA
Female with aura followed by unilateral & throbbing pain.
Classic Migraine HA
