Page 1 of 1: A case of Headache

bush5 · Credits: 1122 My Scrapbook

Differential Diagnonsis
Migraine
Tension Headache
Cluster Headache
Meningitis
Sinusitis, Pharyngitis, sore throat, URTI
Brain Tumor
Trauma
Subarachnoid Hemorrhage
Refractory Errors
Drug Withdrawl
temporal arteritis in elderly
neurosyphilis

Onset
Course
Duration
Location of Pain
quality of pain
Radiation
time of onset
aggravation factors
Relieving factors
associated symptoms
nausea
vomiting
blurriness of vision
photophobia
osmophobia
aura
trauma
nasal discharge
runny eyes
throat pain
neck pain
ear pain
neck stiffness
fever
seizures
tingling and numbness
bowel and urinary habits
change in appetite
warning signs
wt gain or wait loss
galactorrhoea
weakness of arms or legs

Past Medical History
similar type of pain in past, is it differnet from previous
past hospitalizations
hypertension
bleeding procedures
procedures done on back recently( lumbar Puncture Headache)
Family Hisoty of migraine or cancers
past history of cancer

Allergies

social history: alcohol, smoking any recreational drugs

Medications
Personal history
sexual histoyr

Please add further comments

bush5 · Credits: 1122 My Scrapbook

we should also ask about
stresses in life, no. of hours person is working
relationships with the partner
mood and energy levels to rule out depression

reems · Credits: 230 My Scrapbook

Hi bush5, I am a new user and planning to take MCCEE exam 0n2008.Could you plz help me what are the requirements 4r MCCEE . do i need to submit any english proficiency test before MCCEE exam?Plz reply me.
Reems.

bush5 · Credits: 1122 My Scrapbook

Hi dr.Reema
check this

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(IMGs) must have completed all didactic
and practical requirements to obtain the final qualification of Doctor of Medicine or equivalent qualification, including any postgraduate clinical training or internship required to obtain the degree, and be in receipt of the final medical diploma from the university that granted their medical degree.

A certified copy of the final medical diploma, in the original language, accompanied by a translation inEnglish or French if applicable, is a requirement for eligibility to the MCCEE. Your diploma must be
submitted to the Physician Credentials Registry of Canada (PCRC) for review and approval prior to being eligible to apply to the MCCEE.

there is no requirement of english proficiency language for mccee

reems · Credits: 230 My Scrapbook

Hi bush5, Thank you so much 4r your information . Is toronto note is enough 4r mccee ? I already bought one but its only 4r mccqe1 & USMLE part 2 . Is it right one 4r mccee ? Plz reply me.
Reems.

bush5 · Credits: 1122 My Scrapbook

toronto notes are more than sufficient, there are also previous yrs questions bank. try them along with these notes

Kai1111 · Credits: 2036 My Scrapbook

Severity...specifically "Is this the worst HA of your life?"

Any recent social stressors? Any lack of sleep?
Did the HA come on after eating any specific foods like: cheeze, chocolats, and processed meats? Did it come on after sex? after drinking red wine?

Does the HA interfere w ADLs?

Are you familiar with the POUND pneumonic for migraines:
...if pt answers 'yes' to 4/5, then most likely a migraine.
P = pounding
O = lasts one day
U = unilateral
N = assoc w nausea
D = disturbs daily activities

vanjik · Credits: 371 My Scrapbook

As far as I know of,

there were 3 cases in qe2 and img-bc

1) old lady with headache ===> temporal arteritis

2) severe headache with young lady ===> meningitis

3) chronic headache with young guy ====> drug seeker

anything else?

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