Exam (elaborations)
Osce- headache (funny turn)
- Module
- Osce
- Institution
- The University Of Aberdeen (Aberd)
A step by step guide on answering OSCE station specific to headache and funny turns.
[Show more]
Content preview
Headache/ Funny Turn (Blackout)Take a history of a patient presenting with headaches, focussing on the patient's
concerns. Was a typical tension headache and the patient was worried he would
Student Reports on Finals 2011: Aberdeen
www.askdoctorclarke.com 3
have to go for a brain scan - station was just about reassuring this wasn't necessary,
and delve into the fact that his job was stressful to him too.
1) Appropriate introduction (full name and role)
2) Common causes of headache: tension headache, cluster headache, migraine, cranial
arteritis, cervical spondylosis, intracranial mass lesion e.g. tumour, meningeal irritation, SAH
3) Explains purpose of interview
4) Establishes onset of symptoms and duration
5) SAH- Sensitive to the fact that patient is in severe distress and comment on need of
analgesia and antiemetic
6) Ask specifically about
a. SOCRATES
b. Associated factors: nausea, vomiting, visual disturbances (aura, double vision,
fortification spectra) photophobia, fevers or chills, weight loss, rash, tender
temporal artery, neck pain or stiffness, myalgia, rhinorrhea or lacrimation, altered
level of consciousness, neurological deficit
c. Timing
d. Exacerbating and relieving factors: activity, caffeine, alcohol, dehydration, stress,
eye strain, coughing or sneezing, bright lights, menses, hunger, certain foods
e. Severity- effect on the patients life
7) Establishes characteristic of headache :
a. Site
b. Radiation
c. Duration
d. Nature/severity
e. Relieving factors
f. Exacerbating factors
g. Precipitating factors
8) Establishes associated symptoms:
a. Meningism
b. Nausea and vomiting
c. Warning aura
d. Visual disturbances, blurring of vision
e. Weakness (in myasthenia gravis characteristic weakness increases with fatigue) and
tingling, excludes sensory symptoms- paraesthesia and numbness
9) SAH- neck stiffness, nausea, vomiting, mild photophobia, sudden onset headache- worst
ever, excludes fever and symptoms of upper and lower respiratory tract infection.
Establishes FHX of cerebro-vascular and renal disease, excludes previous history of
headaches specifically migraine.
10) Multiple Sclerosis- establishes retro-orbital pain and visual loss
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Sri28. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for £2.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
58716 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy revision notes and other study material for 15 years now