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Is there a history of drug, caffeine, or alcohol ingestion? The hangover headache is well known and should not present a problem in diagnosis. Caffeine withdrawal headaches are also common because of the large amount of ... DIAGNOSTIC WORKUP
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Headache is one of the most common primary care complaints. It may be an isolated or recurrent event; it may be idiopathic or secondary to an underlying structural lesion; or it may simply require an analgesic for pain relief or a complete and... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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By age 7, 40% of children will have experienced headaches. By age 15, this figure rises to 75%. Headache can be the presenting symptom of a neurologic emergency such as subarachnoid hemorrhage, or of a chronic and common disease such as migraine. The... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Nuchal rigidity is characterized by involuntary muscle spasms that limit passive neck flexion. Although it has myriad causes, meningeal irritation may occur secondary to infection, so patients must be evaluated emergently for meningitis/focal infection.... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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... This symptom is best analyzed by using anatomy, as seen in Tables 32 and 33 , but differentiation by pathophysiology is interesting, particularly in muscle traction headaches and migraines.
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... Finding nuchal rigidity on examination has almost invariably prompted the diagnosis of meningitis and lumbar puncture, but the astute clinician will want to consider other possibilities to avoid a potentially hazardous procedure. Anatomy is the key. Visualize the structures of the neck and
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... The most common neurologic symptom, headaches may be localized or generalized, producing mild to severe pain About 90% of all headaches are benign and can be described as vascular, muscle-contraction, or a combination of both. (See Clinical features of... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pictures
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... Commonly an early sign of meningeal irritation, nuchal rigidity refers to neck stiffness that prevents flexion. To elicit this sign, attempt to passively flex the patient’s neck and touch his chin to his chest. If nuchal rigidity is present, this... Emergency interventions ... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers
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... Muscle contraction (tension)
Migraine
Cluster (histamine) headache
Nonmigrainous vascular causes
Effort (physical activity)
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... The most common patient complaint, headache usually occurs as a symptom of an underlying disorder. Ninety percent of all headaches are vascular, muscle contraction, or a combination; 10% are due to underlying intracranial, systemic, or psychological disorders. Migraine headaches,... Causes and incidence ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... Signs and Symptoms Nuchal rigidity, Brudzinski’s and Kernig’s signs, exaggerated deep tendon reflexes, opisthotonos, sinus arrhythmias, irritability, photophobia, deep stupor, coma
Treatment (Tx) Antibiotics, supportive... Pictures
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... Two major meningococcal infections (meningitis and meningococcemia) are caused by the gram-negative bacteria Neisseria meningitidis, which also causes primary pneumonia, purulent conjunctivitis, endocarditis, sinusitis, and genital infection. Meningococcemia... Causes and incidence ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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... The most common neurologic symptom, headaches may be localized or generalized, producing mild to severe pain. About 90% of all headaches are benign and can be described as vascular, muscle-contraction, or a combination of both. (See Comparing benign headaches, page 390... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Pictures
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... Commonly an early sign of meningeal irritation, nuchal rigidity refers to stiffness of the neck that prevents flexion. To elicit this sign, attempt to passively flex the patient’s neck and touch his chin to his chest. If nuchal rigidity is... Emergency Interventions ... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers
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... Robert B. Taylor
Headache is one of the 20 most frequent reasons patients visit primary care providers in the United States. Migraine headache, one of the common causes of recurrent headache, occurred one or more times yearly in 17.6% of females and in 5.7% of... Approach. ... History ... Physical examination ... Testing ... Pictures
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... Differential Overview
❑ Migraine
❑ Tension
❑ Acute sinusitis
❑ Acute glaucoma
❑ Postconcussive ... Diagnostic Approach ... Clinical Findings ... Pictures
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... The most common patient complaint, headache usually occurs as a symptom of an underlying disorder. Ninety percent of all headaches are vascular, muscle contraction, or a combination; 10% are due to underlying intracranial, systemic, or psychological... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... The most common neurologic symptom, headaches may be localized or generalized, producing mild to severe pain. About 90% of all headaches are benign and can be described as vascular, muscle-contraction, or a combination of both. (See Comparing benign headaches.) Occasionally,
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... Commonly an early sign of meningeal irritation, nuchal rigidity refers to stiffness of the neck that prevents flexion. To elicit this sign, attempt to passively flex the patient’s neck and touch his chin to his chest. If nuchal rigidity is present, this... Emergency Actions ... History ... Physical assessment ... Medical causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
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...In most children, headache is not due toa serious cause. Diagnostic dilemma is to determine which childrenhave serious underlying pathology. Principal Causes of Headache Tension-typeheadache Vascular headache Migraineheadache Migrainewith ... Clinical Features and Diagnosis ... Table 25.1. Anatomic Location of Common Intracranial Neoplasms ... Diagnostic Approach ... References
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... The most common neurologic symptom, headaches may be localized or generalized, producing mild to severe pain. About 90% of headaches are benign and can be described as vascular, muscle-contraction, or a combination of both. (See Clinical features of headache, page... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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... Commonly an early sign of meningeal irritation, nuchal rigidity refers to neck stiffness that prevents flexion. To elicit this sign, attempt to passively flex the patient's neck and touch his chin to his chest. If nuchal rigidity is present, this... History and physical examination ... Medical causes ... Nursing considerations ... Patient teaching
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Finding nuchal rigidity on examination has almost invariably prompted
the diagnosis of meningitis and lumbar puncture, but the astute clinician
will want to consider other possibilities to avoid a potentially hazardous
procedure. Anatomy is the key.... Pictures
... READ EXCERPTS »
Tumors in the pituitary can release hormones that wreak havoc throughout the body. Listen to experts explain why shrinking tumors is an important...
Many migraine sufferers are using alternative treatments to prevent and alleviate their migraine attacks.