response to peer.docx - Excellent Great response Alfa...

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Excellent!!!! Great response Alfa Lafleur Medication overuse headache is the most likely diagnosis given her report of headache no longer relieved by pain medication. The headache has not changed from its original primary headache presentation, is associated with nausea, and no other pertinent positives. She needs close follow up and a diary is so helpful!!! I work in an ER and some patients are not compliant with follow up with PCP and just want a quick fix such as episodic ER visits 1 pt 2). Add 1 dx that was not presented by peer to include risk factors and signs and sxs Tension headache: Tension-type headache (TTH) is the greatest abundant headache in the general population and is one of the most usual reasons why over-the-counter analgesics are purchased. T ension-type headache is very common, with a lifetime prevalence in the general population ranging in different studies between 30% and 78% Risk Factors: Strong Factor: mental tension stress missing meals fatigue Weak Factors: somatization female sex age 20-39 years lower socioeconomic status analgesic overuse Signs and Symptoms include dull, nonpulsatile, bilateral, constricting pain (not severe); pericranial tenderness is common. 1 pt 3). Add an additional guideline relevant to the dx and summarize in 2-3 sentences the applicability of guideline Diagnostic Criteria
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The International Classification of Headache Disorders: tension-type headache - ICHD-3 beta (adapted) 1. Probable infrequent episodic tension-type headache o Associated with pericranial tenderness o Not associated with pericranial tenderness 2. Probable frequent episodic tension-type headache o Associated with pericranial tenderness o Not associated with pericranial tenderness 3. Probable chronic tension-type headache o Associated with pericranial tenderness o Not associated with pericranial tenderness 4. Probable tension-type headache o Probable infrequent episodic tension-type headache o Probable frequent episodic tension-type headache o Probable chronic tension-type headache Headache Classification Subcommittee of the International Headache Society. The International Classification of Headache Disorders: 3rd edition (beta version). Cephalalgia. 2013;33:629-808 W ith headaches the HPI is crucial to determine what red flags are present in order to exclude more critical differential diagnoses. Such as fever and neck pain would place Meningitis on the differential and include a LP for diagnostic approach.
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  • Spring '18
  • Ozitz
  • Headaches, Non-steroidal anti-inflammatory drug, Headache, tension headache, headache disorders, tension-type headache

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