Severe Headache Differential
NPTE Clinical Files | Physical Therapy
Kyle Rice
4.9 • 631 Ratings
🗓️ 28 June 2023
⏱️ 12 minutes
🧾️ Download transcript
Summary
Lani is a 15-year-old male who presents with sudden onset of severe headache, neck stiffness, photophobia and a fever. On examination, he has both Kernig's and Brudzinski's signs. Which of the following is the MOST likely diagnosis?
A. Meningitis
B. Migraine headache
C. Cluster headache
D. Tension headache
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Transcript
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| 0:00.0 | I'm Kyle Rice, awful test taker turned physical therapists and standardized test coach for over 5,000 physical therapists worldwide. |
| 0:09.0 | It wasn't that long ago that I struggle with anxiety, lack of confidence, and the fear of failing the NPTE. |
| 0:16.0 | Fast forward through the challenges, the 13 standardized test failures, and many lessons learn. And you'll see the life I |
| 0:22.5 | have today, a life filled with love, financial freedom, and a dream job that allows me to change |
| 0:28.2 | lives every single day. I created the NPTE Clinical Files podcast to give you simple, |
| 0:34.3 | actionable strategies, along with a step-by-step walkthrough of NPTE-based questions. |
| 0:40.5 | All of this so that you can dominate your exam like I did and achieve your dream. |
| 0:45.5 | So if you're a driven PT student who's looking to pass the NPTE and start creating a life |
| 0:50.8 | you love, you're in the right place. |
| 0:53.1 | Enjoy the show. |
| 0:56.0 | For this week's clinical file, we have Lonnie, and Lonnie is a 15-year-old male who presents with a sudden onset of severe |
| 1:03.8 | headache, neck stiffness, photophobia, and a fever. Upon examination, he a Kurnigs and Broozensky sign. Which of the following |
| 1:15.6 | is the most likely diagnosis? So we have A, meningitis, B, migraine headache, C, cluster headache, |
| 1:24.7 | and D is tension headache. All right, let's go up to the top of this question. |
| 1:29.0 | So we got Lonnie is a 15-year-old male who presents with a sudden onset of severe headache, |
| 1:36.8 | neck stiffness, photophobia, and a fever. I want to stop there. It's so important because on the |
| 1:42.7 | NPTE, they love to stack you with a bunch of |
| 1:46.2 | examination findings. I love to slow down here and dissect these piece by piece. So it does say |
| 1:53.1 | severe headache. So I'm thinking about that. It does say neck stiffness, though, which is really |
| 1:59.3 | interesting to come along with a severe headache. |
| 2:01.8 | I know I've had migraines before. |
| 2:04.0 | I've had tension headaches, occipital headaches, all these different types. |
... |
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