Headache

Vertigo

Trauma

Medications

Systemic Infections

Onset: when did it start? Gradual or suddenly?

Location: temporal, behind eyes, bandlike, sinus area, occipital

Unilateral: cluster and migraine

Bilateral: tension

Character: viselike: tenion, throbbing: migraines or temporal arteritis

Pain Level Scale: severe with migraine or cluster

Course & Duration: Migrains: 1-2/mo. lasting 1-2 days; Cluster: 1-2/day lasting ½-2 hours for 1 or 2 mos. then remission for mos. or yrs.

Pattern: family history, related to menses, getting worse/better?

What makes it worse: movement, coughing, straining, exercise

Coping strategies: migraine: lying down helps; cluster: moving helps

Medications: OC's, bronchodilators, nitrates, carbon monoxideinhalation produce H/A's

Cluster: alcohol and daytime napping, eyelid drooping, nasal congestion

Migraine: alcohol, let-down after stress, menses, eating chocolate or cheese, visual disturbances

Tension: anxiety and stress

Associated Symptoms: nausea, vomiting

Stenson's Ducts: next to second molar

Wharton's Ducts: floor of mouth

Cranial nerve I: sense of smell

Cranial nerves IX & X: gag reflex

Cranial nerve XI: innervates sternomastoid and trapezius

Cranial nerve XII: deviation of tongue from midline when protruded