Headaches Flashcards
Most important question when diagnosing headaches?
Timing!
HA worse in morning; gone with activity; generalized and throbbing
Hypertension
HA worse in the morning; toxic; secondary symptom from “hangover”
Metabolic HA
2 types of headaches that are ‘worse in the morning’?
Hypertension and Metabolic
HA that is generalized, CONSTANT, cant’ flex because nuchal rigidity causes pain with all movement. (+) Brudzinski’s and Kernig’s
Meningitis
HA with 15-45 seconds of pain; affects alcoholics due to low B vitamins; travels ear to face
Trigeminal Neuralgia
HA with 15-45 seconds of pain; travels ear to throat
Glossopharyngeal Neuralgia
HA with 15-45 seconds of pain; travels ear to back of neck
Suboccipital Neuralgia
HA with 15-45 seconds of pain is always a form of _____?
Neuralgia
HA is Progressive (gets worse); NOCTURNAL (awareness at night); Medicine ineffective; Worse with position change; Personality changes
Tumor
Young females (menses), familial HA
Tyramine and alcohol trigger
Causes nausea and vomitting
Aura, 3-5 days
Classical Migraine
No aura, 3-5 day HA
Common Migraine
Geriatric (over 50yo); hallmark is Polymyalgia rheumatica; occurs in both sexes; CONSTANT; hypertension history; Increased ESR over 90 mm/hr; these people stop moving because it hurts every time they try and move around.
Temporal Arteritis (aka Giant Cell)
Giant Cells get stuck/clog up capillary beds
HA affects primarily males; piercing; Histamine (allergy based); Unilateral; lasts 1-2 HOURS; Rhinorrhea and congestion; Seasonal and recurring; Wake up after 2 hours of sleep.
Cluster HA
Muscle spasm; bilateral, band-like feeling; stress-related; occurs in AFTERNOON
Tension HA
PPW painful spasm of SCM, causing head to be healed in rotation with slight Flexion.
Torticollis (CN XI)
Three muscles affected by Torticollis?
SCM - ipsilateral lateral Flexion, contralateral rotation
Splenius Capitus - ipsilateral lateral Flexion, ipsilateral rotation
Trapezium - extension
Worst HA ever felt; SUDDEN paralysis; Neuro deficit more than 24 hours; ‘FAST’ face, arm, speech, time = take baby aspirin and call ambulance
CVA
POST-TRAUMA HA; Battle sign present; CSF
Basal Skull Fracture
HA occurs 2 hours POST-PRANDIAL (post meal); FBS, FTT, A1C; Hyperinsuline
Hypoglycemia
Biomechanical; PREDICTABLE; Dental work, trauma, stress, bruxism (grinds teeth).
TMJ
