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Headaches B
Headaches
| Characteristic | Headache |
|---|---|
| Site: Generally Unilateral | Migraine |
| Site: Occipital & Vertex | Hypertension |
| Site: Unilateral Orbital & Temporal | Cluster AKA Histamine |
| Site: Band-like | Tension |
| Site: Unilateral Temporal | Temporal Arteritis (Giant Cell) |
| Site: Occipital & Upper Cervical | Cervicogenic AKA Vertebrogenic |
| Site: Changes with body position | Sinus & Tumor |
| Site: Basilar area | Subarachnoid Hemorrhage |
| Site: TMJ | TMJ |
| Age: Over 50 | Temporal Arteritis (Giant Cell) |
| Characteristics: Ptosis, miosis, red eye, runny nose, nasal congestion, headaches occur closely together | Cluster AKA Histamine |
| Characteristics: Progressively worse | Tumor |
| Characteristics: Onset morning & evening | Tumor |
| Characteristics: Worse in the morning | Sinus & Tumor |
| Characteristics: Slow bleed following trauma with symptoms evident days-weeks post injury | Subdural Hematoma |
| Characteristics: Abrupt onset | Subarachnoid Hemorrhage |
| Characteristics: "Worse headache ever" | Subarachnoid Hemorrhage |
| Characteristics: Fever, nuchal rigidity | Meningeal |
| Characteristics: Pressure | Tension |
| Characteristics: Photophobia, phonophobia | Migraine |
| Characteristics: Pregnancy | Migraine |
| Characteristics: Familial | Migraine |
| Characteristics: Associated with Polymyalgia Rheumatica | Temporal Arteritis (Giant Cell) |
| Characteristics: Neck pain referred to head | Cervicogenic AKA Vertebrogenic |
| Characteristics: Decreased ROM in upper cervical & occiput | Cervicogenic AKA Vertebrogenic |
| Characteristics: Made worse with certain neck movements | Cervicogenic AKA Vertebrogenic |
| Characteristics: Clicking when opening and closing mouth | TMJ |
| Characteristics: Pain worse when bending forward | Sinus & Tumor |
| Characteristics: Nasal discharge | Cluster & Sinus |
| Provoked by: Smoking & Alcohol | Cluster AKA Histamine |
| Provoked by: Bright lights, chocolate, cheese, red wine, cured meats, menstrual cycle | Migraine |
| Provoked by: Tumor growth | Tumor |
| Provoked by: Skipping meals | Hypoglycemic |
| Provoked by: Tension, stress, work, fatigue | Tension |
| Provoked by: Trauma | Subdural Hematoma & Post Concussive |
| Provoked by: Hypertension | Subarachnoid Hemorrhage |
| Provoked by: Flexion of head | Meningeal |
| Provoked by: Head movement | Cervicogenic AKA Vertebrogenic |
| Provoked by: Chronic sinusitis | Sinus |
| Lab/Test: Biopsy | Temporal Arteritis (Giant Cell) |
| Lab/Test: Flexion / Extension Views | Cervicogenic AKA Vertebrogenic |
| Lab/Test: Brudzinski, Kernig, CSF tap | Meningeal |
| Lab/Test: Send to ER | Subdural Hematoma & Subarachnoid Hemorrhage |
| Characteristics: Tender scalp, jaw pain while eating | Temporal Arteritis (Giant Cell) |
| Characteristics: Throbbing in temple area | Temporal Arteritis (Giant Cell) |
| Age/Sex: Middle aged male | Cluster AKA Histamine |
| Characteristics: Coughing, sneezing and straining at stool can make it worse | Tumor |