Skip to content

Tension headache

Videos

Notes

Nervous system

Pathology

Central nervous system disorders
Central and peripheral nervous system disorders
Peripheral nervous system disorders
Autonomic nervous system disorders
Nervous system pathology review

Assessments
Tension headache

Flashcards

0 / 7 complete

Questions

1 / 1 complete
High Yield Notes
6 pages
Flashcards

Tension headache

7 flashcards
Questions

USMLE® Step 1 style questions USMLE

1 questions
Preview

A 30-year-old woman comes to the office due to daily headaches for the past few months. She describes the location to be all the way around her head, and she feels like her head is under a lot of pressure. She rates the pain as a 5 on a 10-point scale, and it often worsens in severity throughout the day. She works as a secretary, and she states that she has been under a lot of stress lately. Her medical history is significant for bacterial sinusitis treated with antibiotics one month ago, and family history is significant for migraines on her mother's side. Temperature is 37.0°C (98.6° F), pulse is 65/min, and blood pressure is 115/75 mm Hg. Physical examination shows mild tenderness on palpation of her posterior neck and occiput. Which of the following is the most likely diagnosis?  

External References
Summary
Tension headache or tension-type headache is the most common type of primary headache. Tension-type headache pain is often described as a constant pressure, as if the head were being squeezed in a vise. The pain can radiate from the lower back of the head, neck, eyes, or other muscle groups in the body typically affects the head bilaterally. They usually occur for a duration longer than 30 minutes, typically four to six hours.