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Anatomy and Physiology of Migraine Headaches Presentation

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Anatomy

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Headache Diagnosis Presentation Anatomy and Physiology of Migraine Headaches (Cash and Glass, 2017; Close et al., 2019; Dlugash and Story, 2020; Vaca, 2019) (Amboss, 2021) (Cleveland Clinic, 2021) Anatomy and Physiology of Tension Headaches (Cash and Glass, 2017; Dlugash and Story, 2020; Turner et al., 2015) (Amboss, 2021) (University of Florida Health, 2021) Anatomy and Physiology of Trigeminal Autonomic Cephalgias (Cash and Glass, 2017; Dlugash and Story, 2020; Straube and Andreou, 2019; Teckchandani and Cowan, 2019) Types • Cluster • Chronic daily headache • New daily- persistent headaches (NDPH) (Amboss, 2021) Red Flags ➢ ➢ ➢ ➢ ➢ ➢ ➢ ➢ ➢ ➢ (Cash and Glass, 2017) Progressively Worse Pattern Changes Papilledema Horner's Syndrome Altered Mental Status Neuro Deficit Temporal Artery Tenderness Worst Headache Ever Nuchal Rigidity, other meningal signs System Infections (Fever, tachycardia, hypotension, seizures) • Promptly Refer For Emergency Diagnostic Testing Assessment: Subjective All Headaches (Cash and Glass, 2017) • Provocation Quality Region Strength of pain (scale of 1-10) Time (Onset, frequency, duration) • First or the worst headache? • History of migraines • Previous patterns and type of headaches • Triggers: (smoking, perfume, foods) • Radiating pain • Type of pain: Throbbing, constant, burning • Associated Symptoms: Lights, halos, phonophobia, photophobia, nausea, vomiting • Neurologic or prodromal sy ...
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