COMPLETE SOLUTIONS VERIFIED GRADED A++
Three types of primary headache
Migraine
Tension
Cluster
Underlying conditions that may cause secondary headache
aneurysm
stroke
tumor
hemorrhage
meningitis
inflammation
sickness ie. flu
SNOOP mnemonic
Systemic symptoms (fever, chills, stiff neck)
Neuro s/s (AMS, seizure, confusion)
Onset (acute, sudden, split second)
Older Patient (>= 50 yo wit new or progressively worse HA)
Previous HA hx (first or different headache)
Migraine HA duration
Lasts 4 hours to several days
, MIgraine HA Aura
- typically visual (floaters, shimmering lights, loss of vision)
- sometimes somatosensory (numbness in fingers, cognitive disorders)
- typically occurs before onset of HA and can last 5 - 60 mins
Migraine HA triggers
stress
menstruation or hormonal changes
altitude or weather changes
fasting
wine, chocolate, cheese, alcohol
sleep disturbances,
Migraine Subjective
Pain in Head or unilateral head pain
Nausea, vomiting
Photophobia, phono phobia
Visual aura
Difficulty concentrating or communicating
Mood changes, Fatigue
Depression, anxiety, stress
Migraine Objective
Fundoscopic & Pupillary exam
Ascultation of carotid and vertebral arteries
palpation of head, neck, and temporal arteries