Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Clinical physical diagnosis > Headache > Flashcards

Headache Flashcards

1
Q

What HA are more common in males

A

Cluster

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What HA are more common in females

A

migrain, tension, trigeminal neuralga, medication overuse, TMJ more painful

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

How are TBIs gradded

A

TBI gradded by loss of conciousness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Why should TBI pts be monitered

A

for secondary injury, brain swelling

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What percent of pop seeks medical attention for HA

A

5-10 percent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what is the classification of migraine

A

vascular primary

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what is the classification of tension type HA

A

non vascular primar

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what is the class of cluster HA

A

vascular primary

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what is the first and second most common HA

A

migrain is first and tension is second

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what are the major indicatiors of migraine?

A

photophobia, nausea, limiting of activities

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what is an aura?

A

scintilating scotoma, photopsia, farethesia on face, numbness, unilateral weakness, olfactory hallucination and aphasia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what medical conditions are associated with migrain?

A

tourettes, epilepsy, asthma, raynauds, hypertension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What triggers a migrain?

A

stress, hormones, change of sleep, weather, food intolerances and tyramine food.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What workup would you do for migraine?

A

EEG, EMG, Xray cervical, CT, MRI, TMJ, CMP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Where are migranes located?

A

Unilaterally mostly in the <50

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are red flags for HA PE?

A

Feaver, neck stiffness, papilledema, Focal neurological signs, systemic illness signs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What does papilledema indicate?

A

meningitis, mass, increased pressure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

what would feaver indicate?

A

systemic, intercranial or local infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What are history red flags?

A

onset after 50, first/worst, TBI, HIV, Cancer, Mental status change, sudden onset. Pain moves to spine.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Prodrome for migraine?

A

food craving, fatigue, heightened perception, fluid retention

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

How does a migrain resolve

A

sleep, vomiting, etc.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

what type of migrain is an emergency?

A

opthalmoplegic of CN III VI VI - parylysis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

what are the three classifications of tension HA

A

infrequent 1/month, frequent 14/month, chronic 15 or more/month

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

what is a trigger for a tension headache?

A

stress

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

how long does tension HA pain last?

A

30 minutes to 7 days, very irregular

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

How long does migain last?

A

4 to 72 hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

How long does cluster HA last

A

30 minutes to 3 hours, but multiple times each day

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

where are tenson HA

A

bilateral with a steady moderate intensity that doesn’ stop daily activities.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Why are cluster and trigeminal nuralga so dangerous

A

because the pain is so awful it can cause suicide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

what is a trigger for a cluster headache?

A

the season

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

what is the trigger for a Trigeminal neuralgia

A

touching cheek, chewing, yawning, wind, very mild stuff

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

what are the two cluster HA possibilities

A

Episodic, less than 1 year to chronic, more than 1 year withno remission

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

where are cluster HA?

A

unilateral in middle aged men

34
Q

what is the pain of a cluster headache like?

A

constant searing pain.

35
Q

can a pt remain active with a cluster headache

A

yes

36
Q

what are som other symptoms of cluster HA

A

tearing, redness of eye, sweating, sensitivity to alcohol,

37
Q

What causes trigeminal neuralga

A

compression of trigeminal nerve root by artery or vein

38
Q

what type of pain is trigeminal neuragia?

A

lightening like, lasting for fraction of second to 2 minutes on the right side

39
Q

when would you do CT or MRI on trigeminal neuralga HA patient

A

if there is trigeminal sensory loss, bilateral symptoms, and if they are under 40 yo

40
Q

who would get a medication overuse headache

A

mostly women who have a history of chronic HA and frequenly use analgesics.

41
Q

what type of headache is the medication HA ususally

A

migrain or tension type.

42
Q

what would medicaiton overuse headache DDX

A

migrain, ttHA, chronic rhinosinusitus, intracranial pathology

43
Q

How often is the rebound/overuse HA

A

daily and worse ofter physical exertion

44
Q

what types of things cause dietary headaches

A

nitrates, MSG, nutrasweet, alcohol, hypoglycemia

45
Q

what is the triad that indicates meningitis?

A

nuchal rigidity, change in mental status, feaver, and looking really sick.

46
Q

what 4 exams can be used to indicate meningitis?

A

Fundoscopic, mental status, Kernig sign guard hamstring, and brudzinski to flex him if straiten neck.

47
Q

what causes meningitis

A

fungal, bacterial or viral infection

48
Q

type of HA with meningitis

A

throbbing and very severe

49
Q

in addition to the triad, what else would you look for in meningitis

A

a rash in later stages

50
Q

what may cause meningitis like symptoms

A

sinus headache, and dental pain

51
Q

how is meningitis diagnosed?

A

lumbar puncture, blood culture and gram stain

52
Q

what are the three bloodpressure related headaches?

A

Hypertension HE, intracranial hypertension and intracranial hypotension

53
Q

Hypertension HE is from what

A

sudden severe increase in BP sometime accopanied by tinnitus, epistaxis and bruits in carotids

54
Q

What would cause intracranial hypertension?

A

edema or tumors.

55
Q

what is a sign of intracranial hypetension

A

mild HA for less than 3 hours that is worse when lying down, it gets worse and more frequent

56
Q

what exam may detect intracranial hypertension

A

fundoscopic looking for papelledema

57
Q

when should you RO for headache, hypertension

A

aura persists after HA, change in HA pattern, epilepsy onset after 20

58
Q

what is a cause of intracranial hypotension

A

iatrogenic, lumbar puncture

59
Q

when is intracranial hypotension HA worse

A

HA worse when sitting up.

60
Q

how does the pain of HA differ between intracranial hypotension and giant cell arteritis

A

they are opposite, hypotension is worse when sitting, Giantcell is worse when laying down.

61
Q

example of an intracranial mass that causes headaches

A

pituitary tumor compressing sella tursica

62
Q

signs of pituitor tumor

A

pain is referred bilaterally to frontal, temoral or occiput. Eventually causing vision problems on one or both sides.

63
Q

what is an associated sign of pituitory tumor

A

pituitory hormone deficit.

64
Q

how is a pituitary tumor detected?

A

CT or MRI

65
Q

what is giant cell arteritis?

A

chronic inflammation of large and medium sized vessels causing temporal, occiput or frontal head pain.

66
Q

when does gian cell arteritis occur

A

mean age is 72 so in elderly who smoke.

67
Q

where does giant cell arteritis HA occur

A

one or both sides and it causes tenderness on surface of scalp

68
Q

associated symtopms of gian cell

A

fever, anorexia, vision loss, polymyalgia rheumatic (muscle joint pain) and chronic non productive cough.

69
Q

What would you discover with Giant cell arteritis upon PE

A

nodules over arteries, tenderness of artery and absent pulse.

70
Q

What would labs find for gian cell?

A

increase in inflammatory markers, ESR, CRP, CBC more leuckocytes, Liver enzymes, less serum albumen

71
Q

how would giant cell arteritis get diagnosed?

A

arterial biopsy

72
Q

why is giant cell arteritis dangerous

A

blindness, stroke, aneurism, MI, arterial indufficiency

73
Q

what could indicate a subarachnoid hemorrhage

A

sudden followed by persistent intense HA, worse and worsening.

74
Q

How is subdural hematoma different from subarachnoid hemorrhage

A

onset is gradual with steady aching , personality changes, and altered conciousnesses.

75
Q

What can cause TMJ

A

malposition, arthritis, inflammation or whiplash

76
Q

Where is TMJ HA pain

A

tenderness in jaw muscles, radiate to ear, hard to open, clicking.

77
Q

what is bruxism

A

teeth grinding

78
Q

how can you test for TMJ

A

see of 3 fingers stacked fit in mouth. Feel for popping or look for midline deviation.

79
Q

depressive headaches are like what

A

very vague and generalized

80
Q

what can cause eyepain HA

A

near or far sightedness, mal alignment of eyes, glaucoma, or conjunctivitis.

81
Q

how does one test for strabismus, or mal alignment of eyes

A

corneal light reflex

Clinical physical diagnosis (7 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions