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9 Cards in this Set
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21 yo F presents with several episodes of throbbing left temporal pain that lasts for 2-3 hours. Prior to its onset, she sees flashes of light in the right visual field and feels weakness and numbness on the right side of her body for a few minutes. Headaches are often associated with nausea and vomiting. She has a family history of migraine.
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Migraine (complicated)
Tension Headache Cluster Headache Pseudotumor Cerebri Trigeminal Neuralgia CNS Vasculitis Partial Seizure Intracranial Neoplasm |
CBC
ESR CT-head MRI-brain LP |
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26 yo M presents with terrible right temporal headaches associated with ipsilateral rhinorrhea and eye tearing and redness. Episodes have occurred at the same time every night for the past week and last 45 minutes.
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Cluster Headache
Migraine Tension Headache Sinusitis Pseudotumor Cerebri Trigeminal Neuralgia Intracranial Neoplasm |
CBC
ESR CT-head MRI-brain LP |
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65 yo F presents with severe, intermittent right temporal headache, fever, blurred vision in her right eye, and pain in her jaw when chewing.
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Temporal arteritis (giant cell arteritis)
Migraine Cluster Headache Tension Headache Meningitis Carotid Artery Dissection Pseudotumor Cerebri Trigeminal Neuralgia Intracranial Neoplasm |
CBC
ESR CRP Temporal Artery Bx Doppler U/S-carotid MRI-brain |
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30 yo F presents with frontal headache, fever, and nasal discharge. There is pain on palpation of the frontal and maxillary sinuses. She has a history of sinusitis.
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Sinusitis
Migraine Tension Headache Meningitis Intracranial Neoplasm |
CBC
CT-sinus LP |
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50 yo F presents with recurrent episodes of bilateral squeezing headaches that occur 3-4 times a week. She is experiencing significant stress in her life.
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Tension Headache
Migraine Depression Caffeine or analgesic withdrawal Hypertension Cluster Headache Pseudotumor Cerebri Intracranial Neoplasm |
CBC
Electrolytes ESR CT-head LP |
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35 yo M presents with sudden severe headache, vomiting, confusion, left hemiplegia, and nuchal rigidity.
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SAH
Migraine Meningitis/Encephalitis Intracranial Hemorrhage Vertebral artery dissection Intracranial venous thrombosis Acute hypertension Intracranial neoplasm |
CT-head
LP CBC PT/PTT MRI/MRA brain |
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25 yo M presents with high fever, severe headache, confusion, photophobia, and nuchal rigidity. Kernig's and Brudzinski's sign are positive.
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Meningitis
Migraine SAH Sinusitis/Encephalitis Intracranial or epidural abscess |
CBC
CT-head MRI-brain LP-CSF analysis (cell count, protein, glucose, Gram stain, PCR for antigens, culture) |
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18 yo obese F presents with headache, vomiting, and blurred vision for the past 2-3 weeks. She is taking OCPs.
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Pseudotumor Cerebri
Tension Headache Migraine Cluster Headache Meningitis Intracranial venous thrombosis Intracranial Neoplasm |
Urine hCG
CBC CT-head LP-opening pressure and CSF analysis |
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47 yo M c/o daily pain in the right cheek over the past month. The pain is electric in character and occurs while he is shaving. Each episode lasts 2-4 minutes.
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Trigeminal Neuralgia
Tension Headache Migraine Cluster Headache TMJ dysfunction Intracranial Neoplasm |
CBC
ESR MRI-brain |
