headaches

Question 1

examples of primary headaches

Answer 1

migraine, tension, cluster

Question 2

examples of secondary headaches

Answer 2

tumor, intracrainial hemmerhage, increasedx ICP, medications like nitrates, meningitis, accelerated hypertension, giant cell arteritis, acute sinusitis

Question 3

SNOOP mnemonic for headache red flags

Answer 3

• Systemic symptoms (fever, unintended weightloss)
• Neurological signs (confusion, nuchal rigidity, papilledema, cranial nerve dysfunction)
• Onset sudden onset, or onset with exertional activity
• Onset age > 50 or younger than 5
• Prior headache hx, Positional, Papilledema

Question 4

What are you thinking if a patient presents with a sudden onset, thunderclap headache?

Answer 4

Sub-arachnoid hemorrhage

Question 5

What are you thinking if a patient presents with an onset of headaches after age 50?

Answer 5

Giant cell arteritis

Question 6

What are you thinking if a patient presents with a headache during positional changes?

Answer 6

Intracranial hypotension, posterior fossa pathology, cervicogenic headache

Question 7

What are you thinking if a patient presents with a headache and systemic symptoms including fever, unintended weight loss?

Answer 7

An infection like meningitis, encephalitis, metastatic disease

Question 8

Define viremic headache?

Answer 8

Headache present during viral infection ie: flu.

A common cause of secondary headache

Question 9

What are the only two neurological symptoms acceptable during a primary headache episode

Answer 9

Photophobia, phonophobia

Question 10

When would you see a secondary headache due to HTN?

Answer 10

with BP >180/120

Question 11

Big black dot in field of vision is a sign of that?

Answer 11

Papilledema