HEADACHE

Question 1

Migraine DDX:

6

Answer 1

1. Tension HA.
2. Cluster.
3. Pseudotumor.
4. CNS vasculitis.
5. Partial seizures.
6. Intracranial neoplasm.

Question 2

Migraine workup:

5

Answer 2

1. CBC.
2. ESR.
3. CT head.
4. MRI brain.
5. LP-CSF analysis.

Question 3

Cluster HA DDx:

4

Answer 3

1. Migraine.
2. Tension HA.
3. Intracranial neo.
4. Pseudotumor.

Question 4

Cluster workup:

5

Answer 4

1. CBC.
2. CT head.
3. MRI brain.
4. LP-CSF analysis.
5. ESR.

Question 5

Temporal arteritis (giant cell arteritis) DDX:

9

Answer 5

1. Migraine.
2. Cluster.
3. Tension.
4. Meningitis.
5. Carotid artery dissection.
6. Pseudotumor.
7. Trigeminal neuralgia.
8. Intracranial neo.
9. Temporomandibular joint (TMJ) disorder.

Question 6

Temporal arteritis workup:

7

Answer 6

1. ESR.
2. CBC.
3. CRP.
4. Temporal artery biopsy.
5. Doppler US carotid.
6. MRI brain.
7. LP-CSF analysis.

Question 7

Sinusitis DDx:

4

Answer 7

1. Migraine.
2. Tension.
3. Meningitis.
4. Intracranial neo.

Question 8

Sinusitis workup:

4

Answer 8

1. CBC.
2. XR-sinus.
3. CT-sinus.
4. LP-CSF analysis.

Question 9

Tension DDx:

7

Answer 9

1. Migraine.
2. Depression.
3. Caffeine or analgesic withdrawal.
4. HTN.
5. Cluster.
6. Pseudotumor.
7. Intracranial neo.

Question 10

Tension workup:

5

Answer 10

1. CBC.
2. Electrolytes.
3. ESR.
4. CT-head.
5. LP-CSF analysis.

Question 11

SAH DDx:

7

Answer 11

1. Migraine.
2. Meningitis/encephalitis.
3. Intracranial hemorrhage.
4. VAD.
5. Intracranial venous thrombosis.
6. Acute HTN.
7. Intracranial neo.

Question 12

SAH workup:

5

Answer 12

1. Noncontrast CT-head.
2. LP-CSF analysis.
3. CBC.
4. PT/PTT/INR.
5. Urine toxicology.

Question 13

Meningitis DDx:

4

Answer 13

1. Migraine.
2. SAH.
3. Sinusitis/encephalitis.
4. Intracranial or epidural abscess.

Question 14

Meningitis workup:

4

Answer 14

1. CBC.
2. CT-head.
3. MRI-brain.
4. LP-CSF analysis — cell count, protein, glucose, gram, PCR for pathogens, culture.

Question 15

Pseudotumor DDx:

6

Answer 15

1. Tension.
2. Migraine.
3. Cluster.
4. Meningitis.
5. Intracranial venous thrombosis.
6. Intracranial neoplasm.

Question 16

Pseudotumor workup:

4

Answer 16

1. Urine hCG.
2. CBC.
3. CT-head.
4. LP-opening pressure and CSF analysis.

Question 17

Trigeminal neuralgia DDx:

5

Answer 17

1. Tension.
2. Migraine.
3. Cluster.
4. TMJ disorder.
5. Intracranial neo.

Question 18

Trigeminal neuralgia — Workup:

3

Answer 18

1. CBC.
2. ESR.
3. MRI-brain.