How to Answer Associated Symptoms Thompson Questions (Complete Guide)
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Original Question
Associated Symptoms: Mr. Thompson describes accompanying symptoms during the headache attacks, including ipsilateral lacrimation (tearing), rhinorrhea (runny nose), nasal congestion, and ptosis (drooping eyelid) on the right side. He also experiences restlessness and agitation during the attacks, often pacing around the room or banging his head against the wall in an attempt to alleviate the pain. Between the cluster periods, Mr. Thompson reports being headache-free, with no residual symptoms. Past Medical History: Mr. Thompson has a history of episodic cluster headaches, with previous episodes occurring approximately two years ago. He recalls similar symptoms during that time, which resolved spontaneously after several weeks. Social History Mr. Thompson works as a construction manager and denies any significant occupational exposures or recent travel history. He reports occasional cigarette smoking but denies excessive alcohol consumption or illicit drug use. Family History: Non-contributory. No family history of cluster headaches or other headache disorders. Physical Examination: Vital signs within normal limits. General physical examination unremarkable. Neurological examination is otherwise normal between headache episodes. 9) What is the diagnosis? Tell about the diagnostic criteria and approaches to the treatment of this headache.
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