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Headache > Differential diagnosis 1 > Flashcards

Differential diagnosis 1 Flashcards

1
Q

What are primary headaches

A

Migraine

Cluster

Tension

Analgesic headache

Benign Thunderclap

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2
Q

What are secondary headaches

A 
Brain Tumour 
Meningitis 
Bleeding 
Temporal Arteritis 
Acute Glaucoma 
Sinusitis
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3
Q

What are the signs and symptoms of migraine

A 
Bad headache 
 Nausea 
 Photophobia 
 Phonophobia 
Osmophobia
3-72 hours
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4
Q

What sex is more commonly having migraines?

A

Women

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5
Q

What are the signs and symptoms of cluster headache

A

Severe side locked headache

30-90 minutes

Unilateral tearing

Unilateral red eye

Unilateral nasal stuffiness

Pacing behavior

Circadian

Circannual

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6
Q

What sex is more commonly having cluster headache?

A

Men

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7
Q

What are the signs and symptoms of temporal arteritis

A 
Tender scalp
Thick, ropey temporal arteries
Fever
Weight loss
Night sweats
Raised inflammatory markers
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8
Q

What does temporal arteritis lead to

A

Blindness

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9
Q

What do you do if you diagnose someone with temporal arteritis

A

Steroid and biopsy ASAP

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10
Q

What are the signs and symptoms of Acute Glaucoma

A

Headache
Vomiting

Eye pain

Rock hard eye
Blurred vision
Mid dilated pupil

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11
Q

What do you do if you diagnose someone with acute glaucoma

A

Get optician or ophthalmologist to

measure eye pressure

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12
Q

What are the signs and symptoms of temporal arteritis

A

Infection or inflammation of the airways
sinuses
Can cause facial pain/pressure feeling
Often associated with nasal discharge

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13
Q

What type of sinusitis is dangerous?

A

Sphenoid

Because it presses on cranial nerves

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14
Q

What does frontal sinusitis also cause?

A

Frontal headache

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15
Q

What are the signs and symptoms of Tension Headache

A

a mild, featureless

headache

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16
Q

What are the signs and symptoms of Analgesic Headache

A

chronic featureless dull headache

17
Q

What do you do if you diagnose someone with Analgesic Headache

A

Avoid opiates, compound
analgesics or triptans more than 10
days/month

18
Q

What are the signs and symptoms of Trigeminal Neuralgia

A 
Severe
Unilateral
Cheek + Jaw >> forehead
Electric pain
Triggerable
Usually < 2 minutes
19
Q

What are the causes of headache

A

dehydration,
hangover, influenza, high altitude, high pressure and
hyponatraemia

20
Q

How does high intracranial pressure cause pain

A

stretches the dura causing pain

21
Q

How does low intracranial pressure cause pain

A

stretches nerves and blood vessels

22
Q

What does carbon monoxide poisoning cause?

A

headache, fatigue, confusion

Headache (1 decks)

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