Headache differential diagnosis: Difference between revisions
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! rowspan="2" |Disease | ! rowspan="2" |Disease | ||
! colspan=" | ! colspan="15" |History and Physical Examination | ||
! rowspan="2" |PMHx | ! rowspan="2" |PMHx | ||
! colspan="3" |Diagnostic approach | ! colspan="3" |Diagnostic approach | ||
|- | |- | ||
!Unilateral | !Unilateral | ||
!Bilateral | !Bilateral | ||
!Throbbing character | |||
!Autonomic symptoms | |||
!Fever | !Fever | ||
! | !Photophobia | ||
!Aphasia | !Aphasia | ||
!LOC | !LOC | ||
Line 22: | Line 23: | ||
!Rash | !Rash | ||
!Neck stiffness | !Neck stiffness | ||
!Vision changes | |||
!Facial tenderness | !Facial tenderness | ||
!Neurologic deficits | !Neurologic deficits | ||
Line 29: | Line 31: | ||
|- | |- | ||
|Migraine | |Migraine | ||
|<nowiki>+</nowiki> | |||
|<nowiki>-</nowiki> | |||
| + | |||
| | | | ||
| | |<nowiki>-</nowiki> | ||
| | |<nowiki>+</nowiki> | ||
| | |<nowiki>-</nowiki> | ||
| | |<nowiki>-</nowiki> | ||
| | |<nowiki>+</nowiki> | ||
| | |<nowiki>+</nowiki> | ||
| | |<nowiki>-</nowiki> | ||
| | |<nowiki>-</nowiki> | ||
| | | + | ||
| | |<nowiki>-</nowiki> | ||
| | |<nowiki>-</nowiki> | ||
| | |Trigger factors, family hx | ||
| | |<nowiki>-</nowiki> | ||
| | |<nowiki>-</nowiki> | ||
| | |Clinical assesment | ||
|- | |- | ||
|Tension-type headache (TTH) | |Tension-type headache (TTH) | ||
|<nowiki>-</nowiki> | |||
|<nowiki>+</nowiki> | |||
| - | |||
| | | | ||
| | |<nowiki>-</nowiki> | ||
| | |<nowiki>-</nowiki> | ||
| | |<nowiki>-</nowiki> | ||
| | |<nowiki>-</nowiki> | ||
| | |<nowiki>-</nowiki> | ||
| | |<nowiki>-</nowiki> | ||
| | |<nowiki>-</nowiki> | ||
| | |<nowiki>-</nowiki> | ||
| | | - | ||
| | |<nowiki>-</nowiki> | ||
| | |<nowiki>-</nowiki> | ||
| | |stress, genetics | ||
| | |<nowiki>-</nowiki> | ||
| | |<nowiki>-</nowiki> | ||
| | |Clinical assesment | ||
|- | |- | ||
|Cluster headache | |Cluster headache | ||
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|Clinical assesment | |||
|- | |- | ||
|[[Seizure]] | |[[Seizure]] | ||
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| | | | ||
| | | | ||
| | |||
|EEG | |||
|- | |- | ||
|Meningitis | |Meningitis | ||
|<nowiki>-</nowiki> | |||
|<nowiki>+</nowiki> | |||
| | | | ||
| | | | ||
|<nowiki>+</nowiki> | |||
|<nowiki>+/-</nowiki> | |||
|<nowiki>+/-</nowiki> | |||
|<nowiki>-</nowiki> | |||
|<nowiki>-</nowiki> | |||
|<nowiki>+/-</nowiki> | |||
|<nowiki>+/-</nowiki> | |||
|<nowiki>+</nowiki> | |||
| | | | ||
| | |<nowiki>-</nowiki> | ||
| | |<nowiki>+</nowiki> | ||
| | |Hx of fever, malaise | ||
| | |<math>\uparrow</math>WBC | ||
<math>\uparrow</math>Protein | |||
<math>\downarrow</math>glucose | |||
|<nowiki>+/-</nowiki> | |||
|CSF analysis | |||
| | |||
| | |||
|- | |- | ||
|Encephalitis | |Encephalitis | ||
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| | | | ||
| | | | ||
| | |||
|Hx of fever, malaise | |||
| | | | ||
| | | | ||
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|- | |- | ||
|[[Brain tumor]] | |[[Brain tumor]] | ||
| | |||
| | |||
| | | | ||
| | | | ||
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|- | |- | ||
|[[Subdural hematoma|Subdural hemorrhage]] | |[[Subdural hematoma|Subdural hemorrhage]] | ||
| | |||
| | |||
| | | | ||
| | | | ||
Line 181: | Line 203: | ||
|- | |- | ||
|Subarachnoid hemorrhage | |Subarachnoid hemorrhage | ||
| | |||
| | |||
| | | | ||
| | | | ||
Line 200: | Line 224: | ||
|- | |- | ||
|Hypertensive encephalopathy | |Hypertensive encephalopathy | ||
| | |||
| | |||
| | | | ||
| | | | ||
Line 219: | Line 245: | ||
|- | |- | ||
|[[Brain abscess|CNS abscess]] | |[[Brain abscess|CNS abscess]] | ||
| | |||
| | |||
| | | | ||
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Line 238: | Line 266: | ||
|- | |- | ||
|[[Conversion disorder]] | |[[Conversion disorder]] | ||
| | |||
| | |||
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Line 257: | Line 287: | ||
|- | |- | ||
|[[Multiple sclerosis]] | |[[Multiple sclerosis]] | ||
| | |||
| | |||
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Line 276: | Line 308: | ||
|- | |- | ||
|[[Hemorrhagic stroke]] | |[[Hemorrhagic stroke]] | ||
| | |||
| | |||
| | | | ||
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Line 295: | Line 329: | ||
|- | |- | ||
|[[Neurosyphilis]] | |[[Neurosyphilis]] | ||
| | |||
| | |||
| | | | ||
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|Clinical assesment and lab findings | |||
|- | |- | ||
|[[Drug toxicity]] | |[[Drug toxicity]] | ||
| | |||
| | |||
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Line 351: | Line 391: | ||
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|- | |- | ||
|Metabolic disturbances | |Metabolic disturbances | ||
| | |||
| | |||
| | | | ||
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Line 371: | Line 413: | ||
|- | |- | ||
|NPH | |NPH | ||
| | |||
| | |||
| | | | ||
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Line 390: | Line 434: | ||
|- | |- | ||
|Sinusitis | |Sinusitis | ||
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Revision as of 08:37, 9 June 2020
Headache Microchapters |
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Headache differential diagnosis On the Web |
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Risk calculators and risk factors for Headache differential diagnosis |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sabeeh Islam, MBBS[2]
Disease | History and Physical Examination | PMHx | Diagnostic approach | ||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Unilateral | Bilateral | Throbbing character | Autonomic symptoms | Fever | Photophobia | Aphasia | LOC | Aura | Nause/vomiting | Rash | Neck stiffness | Vision changes | Facial tenderness | Neurologic deficits | Labs and CSF findings | CT/MRI | Gold standard test | ||
Migraine | + | - | + | - | + | - | - | + | + | - | - | + | - | - | Trigger factors, family hx | - | - | Clinical assesment | |
Tension-type headache (TTH) | - | + | - | - | - | - | - | - | - | - | - | - | - | - | stress, genetics | - | - | Clinical assesment | |
Cluster headache | Clinical assesment | ||||||||||||||||||
Seizure | EEG | ||||||||||||||||||
Meningitis | - | + | + | +/- | +/- | - | - | +/- | +/- | + | - | + | Hx of fever, malaise | <math>\uparrow</math>WBC
<math>\uparrow</math>Protein <math>\downarrow</math>glucose |
+/- | CSF analysis | |||
Encephalitis | Hx of fever, malaise | ||||||||||||||||||
Brain tumor | |||||||||||||||||||
Subdural hemorrhage | |||||||||||||||||||
Subarachnoid hemorrhage | |||||||||||||||||||
Hypertensive encephalopathy | |||||||||||||||||||
CNS abscess | |||||||||||||||||||
Conversion disorder | |||||||||||||||||||
Multiple sclerosis | |||||||||||||||||||
Hemorrhagic stroke | |||||||||||||||||||
Neurosyphilis | |||||||||||||||||||
Wernicke’s encephalopathy | Clinical assesment and lab findings | ||||||||||||||||||
Drug toxicity | |||||||||||||||||||
Metabolic disturbances | |||||||||||||||||||
NPH | |||||||||||||||||||
Sinusitis |