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Cake day: June 10th, 2023

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  • I’m a neurology resident. The localization on this diagram is meaningless. Yes, hypertension can cause headache especially if severe, but the distribution shown on the corresponding diagram would be most consistent with muscle strain if anything. Migraine can start and radiate anywhere but is usually hemispheric - if they wanted to pick something specific to the area around/behind the eye they could have considered cluster or sinus headache. What they indicate as “stress” would be closest to a tension headache, which is the classic band-like squeezing/throbbing headache most of us have experienced at one time or another. If you have headache associated with hypertension and any symptoms like focal weakness, difficulty creating or understanding speech, sensory changes, dizziness, confusion, go to the hospital. The scariest type which can be a sequela of htn would be that associated with subarachnoid hemorrhage which is classically described as the “worst headache of one’s life.” Not to suggest that’s an objective characterization; cluster headaches in particular are notorious for having driven some to suicide due to pain severity.

    Btw I know this is just a meme, but commenting since some were apparently taking the unedited parts of the diagram at face value