Assignment 5: Headache Diagnosis.

Assignment 5: Headache Diagnosis.

Headaches are a very common occurrence. They can be relatively benign or extremely sinister. You are required to pick one of the patient presentations to discuss.
Your discussion should include;
•    A severity score out of 10. (10/10 being a patient that you would blue light and 1/10 being a patient you would be happy to leave at home without any follow up)
•    A headache diagnosis (class of headache) that you believe fits the patient presentation
•    Justification for your diagnosis based upon available evidence
•    Identification of other features, information or test which you may require to further confirm your diagnosis. (This may include more definitive tests and their expected results)
•    CASE 1
•    ONSET: Vague onset – last 2/7 duration appears to be getting worse
•    LOCATION: Forehead & Right Temporal Region
•    ASSOCIATED SYMPTOMS
•    1. Recent Stress
•    2. Generalized body aches/malaise
•    3. Pain feels like a tight band

•    CASE 2
•    ONSET: Woke with pain this am. Lasted 3/24
•    LOCATION: Unilateral pain. Retro-orbital
•    ASSOCIATED SYMPTOMS
•    1. Intense throbbing pain
•    2. Nausea
•    3. Recent cervical injury post heavy lifting

•    CASE 3
•    ONSET:  Sudden onset after falling asleep in the evening 45 mins duration
•    LOCATION:  Behind right eye
•    ASSOCIATED SYMPTOMS
•    1. Severe pain
•    2. Occurs regularly (1-2 times week) usually resolves spontaneously
•    3. Nil visual disturbances or vomiting