10 Kurtz Head Pain Emergent Flashcards Preview

Ocular Disease 3 > 10 Kurtz Head Pain Emergent > Flashcards

Flashcards in 10 Kurtz Head Pain Emergent Deck (12)
Loading flashcards...
1

What are the three things you would ask about to help you distinguish between emergency and non-emergency head pain?

- onset: how rapid?
- severity: how bad (7 is severe)
- frequency: have you had it before?

2

What are the two tentative diagnosis of emergencies presenting with periocular pain?

orbital cellulitis and giant cell arteritis (temporal arteritis)

3

List the tentative diagnosis of emergencies presenting with cranial pain.

- aneurysm
- subarachnoid hemorrhage, SAH
- meningitis/encephalitis
- malignant hypertension

4

How would you test your CN 2, 3, 4, 6, and 8?

VA, VF, pupils, ptosis, and EOMs

5

You touch the patient's face with a tissue on mirror-image points within each of the 3 dermatomes. Which CN function are you testing for?

CN-5, trigeminal

6

You instruct the patient to raise both eye brows, clamp eyes tightly shut, puff out both cheeks and alternately grimace and smile. What CN function are you testing?

CN-7; facial

7

You make a white noise by rubbing your fingers together and ask the patient (with one ear occluded) to tell you when he/she first hears the white noise. What CN function are you testing? And what is an alternative way to doing this test.

CN-8; vestibulocochlear nerve
Can have patient have both ears open and ask which noise is louder. Should be the same

8

You have the patient stick his/her tongue straight out and hold it. Which CN function are you testing?

CN-12; hypoglossal

9

You have the patient extend arms, palms up, eyes closed. What are you testing?

the Descending Pyramidal Motor System

10

List 3 non-specific signs of elevated ICP; intracranial pressure.

papilledema
loss of spontaneous venous pulsation
sixth-nerve (CN-6, abducens) palsy

11

What are the 10 red flags of HA emergency?

1. first HA in pt > 50 yo
2. sudden onset (thunderclap)
3. (+) neuro si ≠ aura
4. stiff neck
5. unexplained fever
6. unexplained vomiting
7. marked change in pattern
8. recent malignancy, head trauma
9. worsening HA
10. BP 180/115

12

What are the 3 REDDEST red flags?

1. ANY neuro si (≠ aura)
2. recent malignancy anywhere in the body
3. recent (potential) head trauma