Headache/Temporal Arteritis Flashcards Preview

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Flashcards in Headache/Temporal Arteritis Deck (13)
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0
Q

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

A

Suspect meningitis. Lumbar puncture

1
Q

Red flags for headaches?

A
  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
2
Q

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

A

Intracranial hemorrhage.

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

3
Q

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

A

Brain tumor. CT or MRI

4
Q

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

A

Temporel arteritis. ESR >50, arterial biopsy

5
Q

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

A

Glaucoma, elevated intraocular pressure.

6
Q

Headache precipitated by alcohol and occurs with rhinorrhea and lacrimation?

A

Cluster headache

7
Q

Xanthochromia indicates?

A

Presence of Bilirubin, differentiating subarachnoid hemorrhage from traumatic tap

8
Q

Criteria for giant cell arteritis?

A

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
9
Q

GCA closely related to? Symptoms?

A

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

10
Q

Drug/Dose to treat GCA? For polymyalgia rheumatica?

A

Prednisone 40 to 60 mg

Prednisone 10 to 20 mg

11
Q

Cranial autonomic features of migraines?

A

Tearing or nasal congestion

12
Q

Treatment of migraines?

A

Preventative: Tricyclic antidepressants, beta blockers

Acute episode: NSAIDs, sumatriptan, dihydroergotamine

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