Osce Patient Centered Exam Headache

Question 1

Headache Red Flags (SNOOP T)

Answer 1

1. Systemic Symptoms -
   Have you been experiencing fever, weight loss or neck stiffness (meningitis)?
   Have you been diagnosed with any other medical conditions such HIV or cancer?
2. Neurologic Symptoms - Do you ever feel like you are confused or fainting?
3. Onset - Is the headache extremely painful and comes on very suddenly (subarachnoid hemorrhage)
4. Older - Has the headache been getting progressively worse overtime?
5. Previous Headache History- Has this ever happened before? Is the pattern the same?
6. Triggered Headache - Anything makes the headache come on?

Question 2

Illness exploration (FIFE)

Answer 2

1. Feeling or Concerns - Is there anything in particular you are worried or concerned about?
2. Ideas – You have any idea what is going on?
   So, what do you think is the problem?
3. Function – How has this affected you or your daily activities?
4. Expectations – Is there anything else you wanted to address?
   How do you think we could help?

Question 3

PMHx (HIDE ABC)

Answer 3

Do you have
Hypertension,
Ischemic heart disease (Heart Attack),
Diabetes,
Epilepsy,
Asthma, Blood disorders, Cancer?

Question 4

Migraine Identifier

Answer 4

Severe, throbbing, unilateral headache (not always on the same side) which may be preceded by an aura and last 5-72hrs

Question 5

Migraine headache

Answer 5

Question 6

Tension headaches

Answer 6

Question 7

Cluster headaches

Answer 7