Headache Flashcards
1
Q
what percentage of american have HA each year that requires OCT
A
80%
of these people 10-20% come to Docs!
2
Q
focal HA
A
–orbital
(visual disturbances, ophthalmoplegia, pupillary )
–facial
(sinusitis, rhinitis, nasopharyngeal, otitis, dental infection, TMJ)
3
Q
worrisome Hx
A
- -abrupt onset or very severe (intracranial hemorrhage)
- -seizures
- -focal neurologica symptoms
- -known cancer
- -anticoagulant therapy
4
Q
worrisome exam
A
- -abnormal mental status
- -focal neurologica findings
- -papilledema
- -malignant HTN
- -meningismus
5
Q
recent trauma
A
- -CSF otorrhea or rhinorrhea
- -skull Fx
- -concussion
6
Q
elderly patient
A
–elevated ESR
(temporal arteritis)
–vascular bruits
7
Q
smoker
A
- -metastatic cancer
- -chest radiography
8
Q
special circumstances
A
- -postlumbar puncture
- -altitude
- -drug induced & withdrawal
- -dietary
