vallia
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24. A 32-year-old man comes to the physician because of a 3-year history of knife-like headaches centered on his left eye. They awaken him at night and are associated with left eye lacrimation and rhinorrhea. Over a 2-month period, they occur nightly, last 30 minutes, and resolve. They typically do not occur again for another year. Which of the following is the most likely diagnosis?
A. Cluster headache
B. Intracranial mass
C. Migraine
D. Tension-type headache
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| ssrpk
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C. Migraine
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| Ig F
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A is the correct answer...........cluster headache(migrainous neuralgia) characterized by unilateral/bl severe throbbing nocturnaal pain associated with excessive lacrimation,nasal congestion usually affecting males...plz check davidsonz....
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| fox
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Its A for sure classical cluster headache.......ssrpk what makes u think its migraine?
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| ssrpk
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hmmmm, i was confused b/w cluster headache and migraine, and too lazy to check the books 
but now i won't forget!
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| Musuq
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A) Cluster headache
Persons who have experienced both cluster headaches report that the pain of cluster headaches is far worse, significantly more severe than a migraine.
The pain has been described as akin to being stabbed repeatedly in the eye with an ice pick or hot poker. It has been described in medical journals as one of the most severe pain syndromes suffered by human beings.
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| Musuq
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| Allison
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Great picture!
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| vallia
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yes, i'll remember forever
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| ssrpk
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exactly! where did u get this pic?
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| laura81
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whats the treatment..if there is one...
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| ruhighazi
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Acute attack treatment: Sumatriptan, 100% O2, or dihydroergotamine
Preventing recurrent symptoms during an active bout of cluster headache: 5-HT agonists, ergotamine, dihydroergotamine, methysergide, calcium channel blockers(verapamil). Prenisone or lithium is also very effective.
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