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DiffDIIIIIII > Headache > Flashcards

Headache Flashcards

(64 cards)

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1
Q

What is the preferred imaging modality to rule out hemorrhage?

A

CT, then maybe a lumbar puncture

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2
Q

If you want to image the posterior fossa what imaging do you need?

A

MRI

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3
Q

Primary headaches effect what age group?

A

20-50

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4
Q

Onset of a headache after 70 is a red flag for what?

A

Temporal arteritis

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5
Q

What orthos do you use to look for meningitis ?

A

Kernigs, brudzinskis

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6
Q

One of the most common headache presentations is associated with what?

A

Whiplash

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7
Q

What is the most typical type of headache?

A

Chronic noprogressive

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8
Q

Most patients with a headache will come into the office with either which 2 kinds?

A

Tension or migraine

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9
Q

If someone comes in with nausea, photophobia, and exacerbation by physical activity and aura what are you thinking they have?

A

Migraine

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10
Q

If you think they have a hypertensive headache what number does it have to be?

A

Greater than 150 mm Mg diastolic

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11
Q

If a CT is Biconcave you know it’s what?

A

Epidural hematoma

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12
Q

If on a CT you see a crescent shape in the head you know its?

A

Subdrual hematoma

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13
Q

A epidural hematoma is between what two things?

A

Skull and dura

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14
Q

A Subaru hematoma is between what 2 things?

A

Dura and arachnoid

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15
Q

What kind of blood involvement is a epidural hematoma?

A

Arterial

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16
Q

What type of blood involvement is a subdural hematoma?

A

Venous

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17
Q

Migraine with aura is more common in who?

A

Females

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18
Q

Are migraines with aura bilateral or unilateral?

A

UNILATERAL

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19
Q

WHAT IS A a Scotoma??

A

Blind spot

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20
Q

How long do migraines with aura last>

A

30 min

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21
Q

What do patients with a migraine with aura skeek?

A

Dark quiet place

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22
Q

What is the most common headache?

A

Migraine without aura

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23
Q

Are migraines with out aura unilateral or bilateral ?

A

Unilateral

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24
Q

Which is more severe and last longer mirage without or with aura?

A

Without aura is less severe and will last longer

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25
When do tension headaches get worse?
Afternoon or early evening
26
Are tension headaches bilateral or unilateral ?
Bilateral
27
What type of headache is described as band around the head?
Tension
28
How long do tension headaches last?
Days or weeks
29
Do tension headaches have nausea and vomiting ?
No
30
Can tension headaches have photophobia and phonophobia?
Not both, one or the other
31
What headache is due to referral from soft tissues and articular structures?
Cervicogenic
32
What headache is common in middle aged dudes ?
Cluster
33
Where are cluster headaches most common?
Orbital in location and unilateral
34
How long do cluster beaches last?
30 min
35
What headaches are assoacited with lacrimation and a runny nose?
Cluster
36
What type of headaches drives patients to attempt suicide?
Cluster
37
Does chiropractic help with cluster headache?
No
38
If you suspect temporal artieritis what should you do?
Referral immediacy
39
What is the big worry with someone with temporal arteritis?
They could go blind
40
What is elevated in someone with temporal arteritis?
ESR and C reactive protein
41
How is temporal arteritis treated? >
Corticosteroids
42
WHAT ARE the two forms of stroke?
Ischemic and hemorrhagic
43
What goes FAST stand for/
Face drooping, arm weakness, slurred speech, time counts
44
What is described as the worst headache of my life?
Hemorrhage stoke
45
What specific type of headache is associated with a hemorrhage stroke?
Sentinel headache
46
Are there reliable and safe tests that can rule out and VAD in progress ?
No
47
What are the 5 D’s for stroke?
Dizziness, drop attacks, diplopia, dysarthria, dysplasia
48
What are the A and 3 N’s for stoke?
Ataxia, nauseate, numbness, nystagmus
49
If you cam raise both eyebrows does that mean you should be thinking stroke or Bell’s palsy?
Stoke
50
What is optic disc swelling that is secondary to elevated intercranial pressure?
Papilledema
51
Is papilledema usually bilateral or unilateral?
Bilateral
52
What percent of patients with brain tumors experience headaches / ?
50
53
Where would a tumor be if the patient has changes in. judgement including loss of initiative, sluggishness?
Frontal love of the cerebrum
54
Where would a tumor be in their is partial or complete loss of vision ?
Occipital or temporal lobe
55
Where would a tumor be if the patient has lost their balance and fine motor skills?
Cerebellum
56
Inability to look upward could be a tumor where?
In the pineal gland
57
What are the two most common brain tumors in adults?
Gliomas and meningiomas
58
If you see a huge sella Turcica on x ray what are you thinking?
Pituitary macroadenoma
59
What is the normal size of the sella turicia?
16x12
60
What is the most common symptom of a chiari malformation?
Headache
61
What is the normal measurement for a chiari measurement ?
Normal is less than 3 mm
62
What lab do you do for pagets?
Alkaline phosphate
63
Cotton wool/fluffy densities are assocaited with what?
Pagets
64
What is the most common kind of skull fractures?
Linear

DiffDIIIIIII (9 decks)

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