And Answers
Health History -- Head, Face, Neck A. Any unusally frequent or severe headache?
Gradual or sudden onset?
B. Any history of a head injury?
C. Any dizziness, i.e, lightheadedness?
D. Any neck discomfort?
E. Any lumps or swelling in head or neck?
F. Any history of surgery on your head or neck?
Headaches - TENSION TENSION
* usually both sides, across frontal, temporal and or occipital region of head
* bandlike tightness, viselike, non throbbing, non pulsating
* gradual onset, last 30 mins to days
* situational -- in response to stress
* not worsened by physical activity
Headaches - MIGRAINE MIGRAINE
* commonly one-sided but may occur on both sides
, ECPI Health Assessment Quiz #2 Questions
And Answers
* pain behind eyes the temples or forehead
* throbbing, pulsating
* rapid onset, peaks 1-2 hrs, last 4-72 hours sometimes longer
* 2 per month, last 1-3 days
* 1 in 10 patients have weekly headaches
* worsened by physical activity
Headaches - CLUSTER CLUSTER
* always one-sided
* often behind or around eye, temple, forehead, cheek
* continuous, burning, piercing, excruciating
* abrupt onset, peaks in minutes, lasts 45-90 min.
* can occur multiple times a day, in clusters, lasting weeks
* severe stabbing pain
* worsened by alcohol, stress, napping, wind or heat exposure
Physical Exam - Eyes A. Visual acuity
1. Snellen Eye Chart -- far vision