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10 Cards in this Set
- Front
- Back
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Young female with unilateral throbbing HA, prior to onset sees flashes of light and weakness, HA associated with nausea/vomitting, family history of migraine
What is your differential? Workup? |
MIGRAINE
Tension/cluster HA Pseudotumor cerebri Trigeminal neuralgia CNS vasculitis Partial seizure Neoplasm Workup - CBC, ESR, CT/MRI, LP |
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Young male with severe unilateral temporal HA + rhinorrhea + eye tearing/redness, HA occurs at the same time every night
What is your differential? Workup? |
CLUSTER HEADACHE
Migraine Tension HA Sinusitis Pseudotumor cerebri Trigeminal neuralgia Neoplasm Workup - CBC, ESR, CT/MRI, LP |
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Older female with severe intermittent, fever, blurred vision and pain in jaw with chewing
What is your differential? Workup? |
TEMPORAL ARTERITIS
Migraine Cluster/Tension HA Meningitis Carotid artery dissection Pseudotumor cerebri Trigeminal neuralgia Neoplasm Workup- CBC, ESR, CRP, temporal artery bx, doppler/US carotid, MRI |
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Young female with frontal HA, fever, nasal discharge, pain on palpation of frontal and maxillary sinuses + hx of sinusitis
What is your differential? Workup? |
SINUSITIS
Migraine Tension HA Meningitis Neoplasm Workup - CBC, CT sinuses, LP |
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Middle age female with recurrent BILATERAL squeezing HA 3-4 times/week + stress in life
What is your differential? Workup? |
TENSION HEADACHE
Migraine Depression Caffeine/analgesic withdrawal HTN Cluster headache Pseudotumor cerebri Neoplasm Workup- CBC, Lytes, ESR, CT, LP |
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Young male with SUDDEN severe HA + vomitting + confusion, hemiplegia, nuchal rigidity
What is your differential? Workup? |
SUBARACHNOID HEMORRHAGE
Migraine Meningitis/encephalitis Intracranial hemorrhage Vertebral artery dissection Venous thrombosis Acute HTN Neoplasm Workup = CT, LP, CBC, PT/PTT, MRI/MRA brain |
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Young male with high fever, severe HA, confusion, photophobia, nuchal rigidity, Kernigs, Brudzinskis signs
What is your differential? Workup? |
MENINGITIS
Migraine Subarachnoid hemorrhage Sinusitis/encephalitis Abscess Workup = CBC, CT head, MRI brain, LP - CSF analysis - cell count, protein, glucose, G stain, PCR for antigens, culture |
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Young obese female with HA, vomitting and blurred vision, taking BCP's
What is your differential? Workup? |
PSEUDOTUMOR CEREBRI
Tension HA Migraine Cluster HA Meningitis Venous thrombosis Neoplasm Workup = urine HCG, CBC, CT, LP - opening pressure and CSF analysis |
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Middle aged male with pain in cheek, pain is electric and occurs while shaving
What is your differential Workup |
TRIGEMINAL NEURALGIA
Tension HA Migraine Cluster HA TMJ dysfunction Neoplasm Workup - CBC, ESR, MRI |
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What physical exam do you do for HA
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VS, inspection and palpation of entire head, ENT inspection, complete neuro exam (including fundoscopic exam)
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