Question

Match each of the following patients with the most appropriate diagnosis.

A. Increased intracranial pressure
B. Migraine with aura
C. Tension-type headache
D. Cluster headache
1. A 33-year-old man who reports a 3-week history of recurrent headaches that awaken him during the night. Pain lasts up to 2 hours and is focused primarily behind the right eye. __
2. A 29-year-old woman with a 2-year history of recurrent, unilateral, pulsating headaches that are often accompanied by nausea/vomiting and photophobia. She reports seeing "squiggles before my eyes" about10 minutes before a headache occurs. __
3. A 54-year-old man reporting occasional bilateral, pressing, nonpulsatile headaches of moderate intensity without nausea, photophobia, or phonophobia. __
4. A 45-year-old man who reports a pressing, nonpulsatile headache that is greatest in severity upon awakening each morning and lessens as the day progresses. __

Answer 1

The appropriate diagnoses for the four patients described are: Cluster headache, Migraine with aura, Tension-type headache, and Increased intracranial pressure, based on their specific symptom presentations.

Step-by-step explanation:

Matching the following patients with the most appropriate diagnosis we get:

1. Cluster headache: A 33-year-old man who reports a 3-week history of recurrent headaches that awaken him during the night. Pain lasts up to 2 hours and is focused primarily behind the right eye.
2. Migraine with aura: A 29-year-old woman with a 2-year history of recurrent, unilateral, pulsating headaches that are often accompanied by nausea/vomiting and photophobia. She reports seeing "squiggles before my eyes" about 10 minutes before a headache occurs.
3. Tension-type headache: A 54-year-old man reporting occasional bilateral, pressing, nonpulsatile headaches of moderate intensity without nausea, photophobia, or phonophobia.
4. Increased intracranial pressure: A 45-year-old man who reports a pressing, nonpulsatile headache that is greatest in severity upon awakening each morning and lessens as the day progresses.