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What's the diagnosis-Headache
Part 3
15
Health Care
Professional
05/05/2013

Additional Health Care Flashcards

 


 

Cards

Term
A 55-year old male presents with headaches which are worse on getting up in the morning. In addition coughing and straining when he is constipated also makes the headache worse along with diplopia. On examination, there is bilateral papilledema and left sided CN VI palsy. A CT scan of his brain shows a solitary solid 5 cm lesion in the posterior lobe in the left cerebral hemisphere.
Definition
Brain Tumor
Term
A 56-year old male presents with occipital headaches which are worse with rotation and left lateral bending of the neck. The headache radiates towards the left eye. On examination, there is decreased left rotation and lateral bending of the neck. Cervical x-rays shows moderate degenerative joint Disease mainly in C 2, 3 and 4.
Definition
Cervicogenic Headache
Term
A 23-year old female presents with right-sided throbbing headache preceded by a period in which she sees flashing lights. She also has nausea, vomiting and photophobia with her headaches. Her physical examination reveals no abnormality.
Definition
Classic Migraine
Term
A 13-year old teen complains of unilateral throbbing headache, nausea, vomiting and photophobia. There is no preceding aura. Her physical examination is within normal limits.
Definition
Common Migraine
Term
A 36-year old male presents with severe one-sided headaches that have been recurring at the same time each day for the past 5 days. On examination, there is ipsilateral conjunctival redness, lacrimation and rhinorrhea. The headaches are precipitated by drinking alcohol.
Definition
Cluster headache
Term
A 58-year old female presents with burning pain over the left temporal area followed by a painful skin rash over the same region. On examination, there are a number of small vesicles and pustules with crusts over the left eyebrow.
Definition
Herpes zoster
Term
A 47-year old female presents with persistent throbbing headaches bilaterally. The headaches are worse in the morning. On examination, her blood pressure is 210/120. A neurological examination is normal. There is no papilledema.
Definition
Hypertension
Term
A 19-year old male college student complains of headache and fever following a sore throat. On examination, there is neck stiffness, and both Kernig and Brudzinski tests are positive. CBC shows leukocytosis with raised lymphocytes. CSF show normal glucose and many lymphocytes.
Definition
Meningitis [viral]
Term
A 56-year old female presents with recurrent headache on the vertex of the scalp. On examination, there is a trigger point located in her left splenius capitis muscle.
Definition
Myofascial Pain Syndrome
Term
A 10-year old child presents with left temporal headache. He also complains of an earache on the same side. On examination, the Weber test lateralizes to the left ear. Rinne test reveals bone conduction greater than air conduction.
Definition
Otitis Media
Term
A 21-year old male complains of frontal headaches. He also complains of nasal stuffiness and congestion. On examination, there is tenderness on percussion of his left frontal sinus. A Waters view of her sinuses shows cloudiness of her left frontal sinus.
Definition
Sinusitis
Term
A 35-year old male with adult polycystic Disease of the kidneys presents with sudden onset of severe headache. He describes this as the worse ever headache. On examination, there is neck stiffness. The CSF has many red blood cells and has yellow color.
Definition
Subarachnoid Hemorrhage
Term
A 62-year old female presents with right-sided temporal headache that is worse on chewing. On examination, there is a swollen tender branch of the superficial temporal artery. The ESR is 60 mm/hr.
Definition
Temporal Arteritis
Term
A 35-year old female complains of squeezing bitemporal headaches which occur on a daily basis and is worse in the afternoons. There is no nausea, vomiting or photophobia. There are no abnormal findings on examination.
Definition
Tension-Type Headache
Term
A 23-year old female presents with left-sided jaw pain. Her boyfriend says that she grinds her teeth at night. On examination, there is decreased opening of her jaw together with a clicking sound on opening the jaw.
Definition
Temporomandibular Joint Dysfunction
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