Assignment: Headache

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Assignment: Headache

Assignment: Headache

A 35-year-old woman comes to your office to discuss her “bad headaches,” which started after having her first child 2 years ago. The headaches sometimes awaken her from sleep and at times can be disabling and occasionally require her to take Tylenol and rest in a dark room. Sometimes she vomits during an attack. Over the past 6 months, her headaches have become more severe and frequent, prompting her visit today.

  • What additional questions would you ask to learn more about her headaches?
  • How do you classify headaches?
  • How can you determine if this is an old headache or a new headache/s? Is this a chronic or episodic condition?
  • Can you make a definite diagnosis through an open-ended history followed by focused questions?
  • How can you use the patient history to distinguish between benign headaches and serious ones that require urgent attention?
  • What diagnostic tests do you want to include to help you with your diagnosis?
How prevalent are adult headaches?
You are not alone if your head throbs. 
One of the most common types of pain in the world is headache. 
In the last year, up to 75% of adults around the world have had headache.


Headaches are leading cause of work and school absences. 
They have an impact on social and family life as well. 
Constantly battling headaches can make some individuals feel nervous and unhappy.


What are the different kinds of headaches?


There are around 150 different forms of headaches. 
Primary and secondary headaches are the two types of headaches.


Headaches that aren’t secondary


Headaches that aren’t caused by another medical condition are known as primary headaches. 
The following items fall into this category:


Headaches in clusters.




Consistent regular headaches (NDPH).


Headaches caused by tension.


Headaches that occur as result of the first


Secondary headaches can be caused by variety of medical conditions, including:


Inflammation of the blood arteries of the brain.


Injury to the head.


Blood pressure that is too high (hypertension).




Overmedication is problem.


Congestion in the sinuses.








Is it true that headaches run in families?


Migraines, in particular, have tendency to run in families. 
Migraine sufferers are more likely to have at least one parent who also suffers from the condition. 
In fact, children whose parents suffer from migraines are four times more likely to suffer from them themselves.


Headaches can also be produced by variables that are common in family’s surroundings, such as:


Caffeine, alcohol, fermented foods, chocolate, and cheese are some of the foods or ingredients to avoid.


Allergen exposure is term used to describe the process of becoming exposed to allergens.


Tobacco smoke that has been passed down from one generation to the next


Strong scents from perfumes or household chemicals.


What are the causes of headaches?


Signals from the brain, blood vessels, and surrounding nerves interact to cause headache discomfort. 
An unknown mechanism activates certain nerves that impact muscles and blood vessels during headache. 
The brain receives pain signals from these nerves.


What are the causes of migraines?


Migraines are still mystery. 
Migraines, on the other hand, are thought to be the result of unstable nerve cells overreacting to variety of conditions, according to researchers (triggers). 
Nerve cells transmit electrical impulses to blood arteries, causing chemical changes in the brain. 
As result, you’ll be in excruciating pain.
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