Headache/Temporal Arteritis Flashcards Preview

Medicine > Headache/Temporal Arteritis > Flashcards

Flashcards in Headache/Temporal Arteritis Deck (13):

Red flags for headaches?

1. Fundamental change in pattern
2. First severe and/or worst headache
3. Abrupt onset attacks especially those that awaken from sleep
4. Neurologic symptoms lasting >1 hour
5. You headache in the patient's 50 years old
6. You headache in patients with cancer, immunosuppression, pregnancy
7. Headache triggered by exertion, sexual activity, or valsalva


Headache with nuchal rigidity, photophobia and prostration? Further workup?

Suspect meningitis. Lumbar puncture


Patient with nuchal rigidity and headache with clouded consciousness? Work up?

Intracranial hemorrhage.

1) CT scan
2) lumbar puncture's shows bloody tap and xanthochromic (if older)


Patient with severe new pounding headaches associated with nausea and vomiting localized to one side. Work up?

Brain tumor. CT or MRI


Patient > 50 with Unilateral pounding headache and vision changes? Work up?

Temporel arteritis. ESR >50, arterial biopsy


Patient with severe eye pain and nausea and vomiting. Pupil partially dilated? Measure?

Glaucoma, elevated intraocular pressure.


Headache precipitated by alcohol and occurs with rhinorrhea and lacrimation?

Cluster headache


Xanthochromia indicates?

Presence of Bilirubin, differentiating subarachnoid hemorrhage from traumatic tap


Criteria for giant cell arteritis?

Three or more of the following:
1. Age >50 years
2. New onset/type of headache
3. Tenderness or decreased pulsation of the Temporal artery
4. Elevated ESR
5. Abnormal findings on temporal artery biopsy


GCA closely related to? Symptoms?

Polymyalgia rheumatic. Stiffness of the neck, torso, shoulders, proximal muscles


Drug/Dose to treat GCA? For polymyalgia rheumatica?

Prednisone 40 to 60 mg
Prednisone 10 to 20 mg


Cranial autonomic features of migraines?

Tearing or nasal congestion


Treatment of migraines?

Preventative: Tricyclic antidepressants, beta blockers

Acute episode: NSAIDs, sumatriptan, dihydroergotamine

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