Headaches typical presentations Flashcards
1
Q
- Bilateral tight band
- Recurrent
- Occurs late in day
- Associated with stress
A
Tension headache
2
Q
- Sudden onset retro-orbital pain
- Excessive lacrimation
- Eye redness
- 6-12 weeks followed by period of remission
- Occur at same time every day
A
Cluster headache
3
Q
- Unilateral pulsating headache
- Aura
- Prodromal symptoms
- Photophobia
- Nausea + vomiting (only once or twice)
- Can wake patient in the night
- Paraesthesias
A
Migraine
4
Q
- 2 seconds of stabbing pain in face
- Electric shock in nature
- Face screws up in pain
- Triggered by cold wind, light touch, eating, talking
A
Trigeminal neuralgia
5
Q
- Stiff neck
- Photophobia
- Systemic symptoms - fever, rash
A
Meningitis
6
Q
- Unilateral throbbing pain
- Scalp tenderness
- Jaw claudication
- Visual problems
A
Temporal arteritis
7
Q
- Thunderclap headache/worst headache ever
* Very sudden onset
A
Subarachnoid haemorrhage
8
Q
- Worse in morning
- Worse with coughing/change in posture
- Vomiting many times
- Reduced GCS
A
Raised intracranial pressure (tumour, hypertension, hydrocephalus)
9
Q
- Nausea and vomiting
* History of hypercoagulability
A
Venous sinus thrombosis
10
Q
- Pain around one eye
- Swollen red eye
- Visual blurring
- Haloes
A
Acute closed-angle glaucoma
11
Q
- Facial pain
- Exacerbated by leaning forward
- Nasal congestion
A
Sinusitis
12
Q
- Most common cause of stroke in young adult - caused by hitting chin and hyperextending neck
- Dull/pressure occipital headache
- Neck/facial pain
A
Carotid artery dissection
