| Author | 8 Posts |
humar92004
Forum Newbie
Topics: 6
Posts: 8
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A 35-year-old man comes to the physician because of daily severe, periorbital, right-sided headaches over the past 6 weeks. The pain often awakens him from sleep and is so excruciating that he wants to bang his head against the wall. He reports nasal "stuffiness" and nausea. He has had similar episodes on 2 previous occasions. Physical examination shows right-sided ptosis, lacrimation, and reddening of the right eye. Laboratory studies show:
Hemoglobin....................................16 g/dL
Hematocrit.....................................49%
Leukocyte count.............................6000/mm3
Erythrocyte sedimentation rate.........5 mm/hr
Which of the following is the most likely diagnosis?
A. Classic migraine
B. Cluster headache
C. Common migraine
D. Subarachnoid hemorrhage
E. Temporal arteritis
F. Tension headache
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| kpmle2
Forum Elite
Topics: 29
Posts: 292
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B. Cluster headache
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| Kamsi
Forum Guru
Topics: 103
Posts: 347
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B
periorbital ,previous episodes( occurs in clusters)ptosis ,lacrimation
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| DrVirgo
Forum Hero
Topics: 1055
Posts: 3,374
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Cluster
daily, one sided, excriciating, red eye, lacrimation -all point to Cluster HA.
Migraine would also be one sided but without the other signs.
It could occur with or without aura.
(Whats the difference between CLASSIC Migraine and COMMON Migraine)???
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| oldkidontheblock
Forum Guru
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b
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| Ivonne
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(B) 
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| RitaM
Forum Newbie
Topics: 1
Posts: 61
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Worst headache of my life SAH
periorbital pain during night Cluster
Band like headache Tension vascular headache
Headache associated with blurring of vision,Neural symptoms Migraine
Morning headache with vomiting, Raised Intracranial pressure
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| genbot
Forum Guru
Topics: 13
Posts: 546
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Cluster for sure!
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