Headache, Including Migraine and Cluster Headache

1. Name 4 diagnoses that should be considered in the patient who presents with acute new-onset, sudden headache. List 2 symptoms for each to support each diagnosis.

1. Meningitis – acute, severe headache w/ stiff neck and fever; pain with eye movement
2. Intracranial hemorrhage (Subarachnoid, epidural or subdural hematoma) - acute, severe headache w/ stiff neck and w/o fever
3. Glaucoma – prostrating headache w/ nausea / vomiting; started with severe eye pain
4. Purulent Sinusitis – Fever or unexplained systemic signs, induced by bending, lifting, coughing

             

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Created on ... November 11, 2004