At 35 years, various types of headaches are expected resulting from body emotional, psychological and physiological changes that affect the normal functioning of the human body. According to the case, additional questions to ask include: Did you experience any symptoms of headache after your first pregnancy? If there were any headaches before conception, how often were they? Are you suffering from any form of depression or using any other hard drugs? In classifying the headaches, the classifications would be done according to:
Cluster headaches
Headache attributed to neck or and neck trauma
Tension-type headache
Other primary headaches
In determining whether the headache is a new one or old one, the best way is through taking a historic analysis of the patient. According to the diagnosis and analysis, this type of headache is chronic because it leads to vomiting and staying away from bright light. It is possible to make a definite diagnosis through an open-ended history, which will be followed by focused questions. However, it is not 100% efficient to use the patient’s history in defining whether the headache is just beginning or a serious one that requires immediate attention. It is important to carry out diagnostic tests to determine the real cause of the headaches of the patient. This is best done by carrying out tests to check for:
Tension-type headaches
Migraines rebound headaches
Cluster headaches
Primary headaches
Secondary headaches
The diagnosis should also be carried out to check for:
Glaucoma
Influenza
Dehydration
Panic attacks
Stroke carbon monoxide poisoning
Concussion
Overuse of medication
Obstruction
Poisoning
Differential diagnosis flow sheet
Patient with headache
Classification of headache
New headache
Acute thunderclap headache
Chronic headache
Performing neuroimaging at direction of physician
Performing neuroimaging and lumber puncture
References
Gyol, P. (2012). Current Medical Diagnosis and Treatment. Mumbai : Jaypee Brothers Publishers .
Ryan, R. E. (2015). Headache: Diagnosis and Treatment. New York : Mosby Publishing .
Silberstein, S. (2014). Wolff's Headache and Other Head Pain. London : Oxford University Press.
