Table of Contents
Common Questions
Chat with CodyMD
Cody's Chat with Patient
Cody's AI Summary
Top 3 AI Diagnosis List
Review by Dr Albert DiPiero
Resource Center
Testimonials
Share this Case Study
Case Study
Meet your host
Albert DiPiero, MD MPH FACP
I am a co-founder and the Chief Medical Officer at CodyMD and your host for this edition of Cody Grand Rounds. I have been a practicing physician and faculty member at medical schools for over 26 years.
About The AI Doctor Case Study
CodyMD is a partnership between Human Doctors and AI Doctors. Cody is an AI Doctor who helps thousands of people every day. At each Cody Grand Rounds, I select a real case and review it with Cody, the AI Doctor.
Each case is based on a real patient but has been modified to maintain privacy and to emphasize certain teaching points.
Common Questions
1. What causes temple headaches?
2. How long can a temple headache last?
3. Are temple headaches related to vitamin intake?
4. How are tension headaches different from migraines?
5. How are temple headaches treated?
6. Is it normal to have temple headaches for several days?
7. Can AI help diagnose headaches?
Chat with CodyMD
Click the button below to initiate a conversation with CodyMD, your AI Doctor.
Cody's Chat with Patient
Below is a conversation transcript between the patient and our AI Doctor CodyMd.
Cody, the AI Doctor
So you want to focus on your temple headache today, is that correct?
Patient
Yes.
Cody, the AI Doctor
My goal is to provide you with an accurate assessment and plan. Let's talk about your concerns regarding temple headache. Can you please describe your temple headache in detail? For example, is it a sharp or dull pain? Does it occur on one side or both sides of your head? How long does it typically last?
Patient
Pulsating and dull to both sides for hours. It has been five days.
Cody, the AI Doctor
Temple headaches that are pulsating and dull, affecting both sides of the head for hours over several days, could be indicative of tension headaches or migraines. Have you been diagnosed by a health professional with any medical conditions? For example, diabetes, migraines, or hypertension?
Patient
I have had migraines in the past, but this feels different.
Cody, the AI Doctor
Migraines are a common cause of temple headaches. When did you first start experiencing temple headache? For example, did this current episode of temple headache start recently or has it been ongoing for a while?
Patient
It has been ongoing for a while after taking my vitamins.
Cody, the AI Doctor
Temple headaches that occur after taking vitamins could be related to various factors, such as the ingredients in the vitamins or how your body reacts to them. Have you noticed if your temple headaches are getting worse, getting better, staying the same, or do they vary in intensity from day to day?
Patient
Staying the same with the same intensity.
Cody, the AI Doctor
How did your temple headache start? Did it start suddenly or gradually?
Patient
It started suddenly.
Cody, the AI Doctor
Temple headaches that start suddenly after taking vitamins could be a sign of a reaction to certain ingredients in the vitamins. On a scale of 1 to 10, with 1 being no problem and 10 being very severe, how would you rate the severity of your temple headache?
Patient
About a 4.
Cody, the AI Doctor
Have you experienced any nausea or vomiting along with these temple headaches?
Patient
No nausea.
Cody, the AI Doctor
Have you experienced any vision changes or any pain with chewing along with these temple headaches?
Patient
No, none of that.
Cody's AI Summary
- You are a 27-year-old woman with headache in both temples for the past five days.
- You have a history of migraines.
- The temple headaches started suddenly after taking vitamins.
- The severity of your temple headache is rated at 4 out of 10.
- You have not experienced any nausea, vision changes, or other symptoms along with these temple headaches.
- You have no other medical conditions.
Top 3 AI Diagnosis List
Based on the information and conversations with Cody, we have prepared a top 3 AI Diagnosis List.
1. Tension Headache( 60 % probability)
Headaches often described as a constant pressure or tightness around the head.
2. Migraine Headache(30 % probability)
Recurrent headaches that can cause moderate to severe throbbing pain, often accompanied by other symptoms like nausea and sensitivity to light.
3. Vitamin Overdose(10 % probability)
Excessive intake of vitamins can lead to various symptoms, including headaches.
Review by Dr Albert DiPiero
Dr. Albert DiPiero
In reviewing the patient’s history and symptoms, The patient presents with a temple headache that is pulsating and dull, affecting both sides of their head for the past five days. This type of headache can indeed be indicative of tension headaches or migraines. The sudden onset after taking vitamins raises the possibility of a reaction to certain ingredients or an overdose.
1. Tension Headache(70% probability)
Tension headaches are usually characterized by a sensation of tightness or pressure around the head. The bilateral nature and persistent dull quality align well with this diagnosis.
2. Migraine Headache(25% probability)
Given the patient's history of migraines, this is a strong contender. Migraines often present with throbbing pain and can be triggered by various factors, including dietary supplements. But she has no nausea and says this headache is different from her usual migraine, making Migraine Headache less likely.
3. Vitamin Overdose Headache(5% probability)
Although less likely, excessive intake of certain vitamins, especially fat-soluble ones like A, D, E, and K, can result in headache among other symptoms.
Next Steps for Evaluation
Detailed Medical History and Examination: a physical examination of the head and neck and a full neurologic exam would be critical to rule out other triggers or underlying conditions.
Blood Tests: depending on the results of the exam, it may be beneficial to check for vitamin levels and other possible anomalies.
Imaging Studies (if needed): if abnormalities were found on the neurologic exam or if there were other findings of concern, radiologic studies such as head CT scan or MRI may be helpful.
Potential Treatment Modalities
Medication Treatments: NSAIDs for tension headaches, or triptans for migraine headaches are the standard first-line therapies.
Lifestyle Changes: Adequate hydration, regular meals, and proper sleep can help in managing headaches.
Avoidance of Suspected Triggers: If vitamins are suspected to be a trigger, discontinuation or substitution might be necessary.
Resource Center
Testimonials
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