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Patient with Headache as A Chief Complaint Questions

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Health & Medical
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Question 1
As a prehospital provider, what would you assess for a patient with “headache” as a chief
complaint?
When encountering a patient having a chief complaint of headache, I shall assess:
1. Origin of the headache
2. Duration of the headache
3. Site of headache and any radiation of pain
4. Onset of headache
5. Any factors leading to reduction of the pain like posture drugs etc.
6. Any factors leading to exaggeration of pain
7. Blood pressure, breathing rate, temperature, pulse and blood sugar level on finger stick
8. History of past medical issues
9. Pertinent family history
10. Pertinent social history
11. History of recreational drug use or drug abuse.
12. Carry out a physical examination to assess for signs of other diseases like anemia or
neurological disorders etc.
Question 2
What are five categories of medications that can be used in the treatment of the various types
of headaches?

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1. Over the Counter Drugs (OTC) like acetaminophen, asprin, ibuprofen, naproxen and
asprin
2. Opioid Analgesics
3. 5-HT Receptor Antagonists like Eletriptan, rizatriptan, sumatriptan
4. Anticonvulsants like Topiramate
5. Antidepressants like SSRIs and Tricyclic Antidepressants
Question 3
What are the potential interactions, side effects and complications for medications used in the
treatment of headaches?
Potential Interactions:
Antidepressants like tricyclic antidepressants, SSRIs and 5-HT receptor antagonists interact with
each other to raise the serotonin levels inside the brain leading to serotonin syndrome, which is
dangerous condition.
Side effects:
Side effects of medications used in treating headaches are insomnia, gastric ulcers, duodenal
ulcers, anorexia, nausea, vomiting, constipation, diarrhea, confusion, erectile dysfunction,
drowsiness, dizziness etc.
Complications:

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Question 1 As a prehospital provider, what would you assess for a patient with “headache” as a chief complaint? When encountering a patient having a chief complaint of headache, I shall assess: 1. Origin of the headache 2. Duration of the headache 3. Site of headache and any radiation of pain 4. Onset of headache 5. Any factors leading to reduction of the pain like posture drugs etc. 6. Any factors leading to exaggeration of pain 7. Blood pressure, breathing rate, temperature, pulse and blood sugar level on finger stick 8. History of past medical issues 9. Pertinent family history 10. Pertinent social history 11. History of recreational drug use or drug abuse. 12. Carry out a physical examination to assess for signs of other diseases like anemia or neurological disorders etc. Question 2 What are five categories of medications that can be used in the treatment of the various types o ...
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