Snapshot A 28-year-old male lawyer presents with headache. He describes the headache as of tightening quality on both sides of his forehead. It is non-throbbing, but feels like a "tight cap." He denies phonophobia or photophobia. On physical exam, there is pericranial muscle tenderness. Introduction Most common type of headache login to view 2 more bullets Mean age ~ 30 years old Mental tension and stress are important precipitating factors login to view 1 more bullet Presentation Symptoms login to view 5 more bullets Physical symptoms login to view 2 more bullets Evaluation Clinical diagnosis Differential Migraine headache Medication overuse headache Cluster headache Secondary causes of headache login to view 3 more bullets Treatment Identify headache triggers Acute therapy login to view 2 more bullets Prophylactic therapy login to view 1 more bullet Prognosis, Prevention, Complications Prevention login to view 1 more bullet Complications login to view 2 more bullets