Headache History

  • CC
    • Site: uni\bi-lateral? Band-like? Around the eyes? Radiates anywhere else?
    • Onset: first time? When? Gradual\sudden? Continuous\intermittent? Getting better\worse?
    • Duration: how long does each episode last?
    • Timing: specific time of the day\night? How frequent?
    • Character: throbbing\pulsating? Pressure? Burning?
    • Relieving\aggravating factors: medications?
    • Severity: 1-10 scale? Wakes you up at night? Interfering w\ ADL? Worst pain of your life?
  • Associated sx:
    • Constitutional: fever, fatigue, wt loss, loss of appetite, night sweats, chills?
    • Neurological: numbness, weakness, loss of consciousness, seizures?
    • Meningitis: stiff neck, vomiting, rash?
    • Migraine: N\V, visual changes, photo\phono-phobia, associated w\ menstruation?
    • Cluster: Eye symptoms: pain\swelling\lacrimation?
    • Tension: neck\shoulder pain, worse at end of the day, associated w\ stress?
    • Eye: blurred\double vision? Wear glasses?
    • Sinusitis: runny nose, recent URTI\ear infection, facial pain, pain worse w\ bending?
    • TMJ: jaw pain, ear pain, locking of the joint, difficulty chewing, tooth pain?
    • Anemia: palpitation
  • PMHx:
    • Diseases:
      • Chronic ds (HTN, DM, DLP)
      • Neurological
      • Malignancy, infections
    • Medications: NSAIDs, anticoagulants
    • Surgery, hospitalization, trauma
    • Blood transfusions, IV drug use, tattoos
    • Allergies
  • FMHx:
    • Similar complaint?
    • Same diseases as in PMHx?
  • Social Hx:
    • Occupation, marital status, children?
    • Smoking, alcohol, recreational drugs, caffeine?
    • Travel Hx, contact with sick pts
    • Diet, exercise

 


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