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Which of the following are a type of headache?
You are called to a patient who is presenting with a unilateral headache around the left eye and left zygoma. It is a sharp, severe headache and the patient is restless and agitated. The patient also has a watery left eye, swollen eyelid and left side nasal congestion. The headache has currently lasted for 45 minutes. There are no other abnormalities and observations are normal. What kind of headache is this most likely to be caused from?
The patient now states that she has been diagnosed with cluster headaches in the past and it feels very similar. The pain is severe and is looking for relief. Should you offer the patient paracetamol and NSAIDs to help the patients pain?
What treatments can be prescribed for the relief of cluster headaches?
When considering medication overuse headaches, what medications would alert us to this diagnosis when taking for three months or more? TICK ALL THAT APPLY
The ‘thunderclap’ headache is typically associated with which diagnosis?
You are called to a 45-year-old female who is complaining of a severe unilateral, frontal headache. The patient is in bed with the lights turned off to help with the pain and they feel quite nauseous but haven’t vomited. The son who called was worried as he hasn’t seen his mother like this, however, the mother stated that she gets this regular and not to call. It is pulsating in nature. She described an aura before the headache of flickering lights in her vision. The headache has currently been going on for 6 hours and is unchanged. The patient hasn’t been able to take her regular medication.
What is your first impression to the cause of this headache?
Approximately what percentage of adults in the UK will be affected by migraine at some point?
What red flag symptoms should we look out for when assessing someone with a headache? TICK ALL THAT APPLY
Headaches are notoriously easy to assess and diagnose, and a large percentage are benign, therefore we should discharge patients at home presenting with headache easily?
You are called to a 35-year-old male with a complaint of severe headache. They have no noteworthy past medical history and have never suffered with headaches before. The patient states it is the worst pain he has ever felt, and they are adamant they need pain relief. Onset was two hours ago whilst jogging and it came on suddenly. He has vomited once just before your arrival and has now started complaining of dizziness. He is normally very fit and well however is a heavy smoker and drinks alcohol quite regularly.
What would be your first impression for the cause of this headache?
Approximately what is the mortality rate associated with subarachnoid haemorrhage?
What other conditions can be associated with a headache that is sudden and severe in nature?
What diagnosis involves the inflammation of medium and large arteries giving rise to symptoms of headache, visual disturbances and jaw claudication?
You should consider hospital assessment with first presentation severe headache?