First Aid for the USMLE Step 2 CS by Tao Le

Author:Tao Le
Language: eng
Format: epub
Publisher: McGraw-Hill Education
Published: 2014-04-10T04:00:00+00:00

Additional Differential Diagnoses

Depression: Headaches may be worse on arising in the morning and are associated with other symptoms of depression. The patient also reports stress and rejection at work.

Pseudotumor cerebri: In pseudotumor cerebri, headaches may be focal but are usually accompanied by diplopia and other visual symptoms. The physical exam should reveal papilledema but may be normal during the first few days after the onset of illness.

Cluster headache: This involves unilateral periorbital pain, often accompanied by ipsilateral nasal congestion, rhinorrhea, lacrimation, redness of the eye, and/or Horner’s syndrome. Episodes of daily pain occur in clusters and often awaken patients at night. However, this rarely occurs in women (a similar entity seen in women is termed chronic paroxysmal hemicrania).

Sinusitis: This is a rare cause of headache. Although the patient had a sinus infection several months ago, there are no signs or symptoms of sinus or respiratory infection in this case.

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