Headache/Jaw Flashcards

1
Q
  • 30’s
  • Unilateral pain
  • Mod - severe
  • Exacerbated by neck movement
  • Tender upper neck
A

Cervicogenic headache

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2
Q
  • 20’s, F
  • m.c. primary type
  • +/- naussea, photophobia, phonophobia (chronic)
  • Bilateral pain
  • mild - moderate
A

Tension headache

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3
Q
  • Children/Teen, F
  • Type A personality
  • (-) stress, hormones (mences), Tyramine, MSG
  • Uni or bi
A

Common migraine

  • 5 or more/ month
  • 4-72 hours
  • Not related to other disorders
  • 2/4 unilateral, pulsating, ADL’s, mod-severe
  • 1/2 nausea + vomit , phonophobia + photophobia
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4
Q
  • Male
  • Short duration
  • Severe
  • Unilateral
  • Stabbing
  • (+) Physical activity
  • (-) Alcohol
A
  • Cluster headache

Parasympathetic symptoms associated
- ptosis, eye watering, nasal congestion

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5
Q
  • 20-40, F
  • Temporal type headache
  • Muscle spasm in jaw
  • Clicking in jaw
  • jaw tenderness
A

TMJ

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6
Q
  • Typically starts unilateral then spreads bilateral
  • Feeling of fullness in face
  • (-) head movements
  • +/- Fever
  • Long time smoker or sinus infection
A

Sinus Headache

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7
Q
  • 3 month - 3 years
  • Fever
  • Severe earache (pain)
  • Hearing loss (SN if chronic)
  • Nausea, vomiting, diarrhea
A

Otitis media

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8
Q
  • Blurry vision (starts peripheral)
  • Dilated pupils
  • Increasing Intra-ocular pressure
  • Head pain
  • No discharge
  • Halos
A

Glaucoma

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9
Q
  • 60-70, F
  • Lancerating, paroxysmal, unilateral facial pain
  • Mouth –> eye (spares orbit)
  • < 60 seconds
  • Facial “tick” to try to alleviate the pain
  • Triggered by touching face
A

Trigeminal neuralgia
- “Tix Douloureux”

Associated with M.S.

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10
Q

> 70, F
- LG fever, HA, blurred vision
- Temporal tenderness
- Associated bilaterally symmetric pain in Neck, Shoulders + Hips (proximal extremities)

A

Temporal Arteritis associated with Polymyalgia Rheumatica

EMERGENCY

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11
Q
  • Diffuse, pulsating HA
  • (-) activity
  • AM headache
  • +/- based on BP
  • Can see papiledema /vision loss
A

Hypertension

EMERGENCY

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