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Y3 Neurology Conditions > Headaches > Flashcards

Headaches Flashcards

(56 cards)

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1
Q

Location of tension headache

A

Across forehead

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2
Q

Severity of tension headache

A

Mild

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3
Q

Pattern of tension headache

A

Band-like

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4
Q

How does tension headache resolve

A

Gradually

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5
Q

Is there visual disturbances in tension headache

A

No

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6
Q

Associations of tension headache

A
  • stress
  • depression
  • alcohol
  • skipping meals
  • dehydration
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7
Q

Difference between 2ry & tension headache

A

2ry has a clear cause

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8
Q

How long does sinusitis take to resolve

A

2-3 weeks

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9
Q

Sinusitis can be irrigated with

A

Saline

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10
Q

RED FLAG:

  • fever
  • photophobia
  • neck stiffness
A

Meningitis

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11
Q

RED FLAG:

- new neurological symptoms

A
  • haemorrhage
  • malignancy
  • stroke
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12
Q

RED FLAG:

- dizziness

A

Stroke

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13
Q

RED FLAG:

- visual disturbance

A
  • temporal arteritis

- glaucoma

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14
Q

RED FLAG:

- sudden onset occipital headache

A

Subarachnoid haemorrhage

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15
Q

RED FLAG:

  • worse on coughing/straining
  • postural
A

Raised ICP

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16
Q

RED FLAG:

- vomiting

A

CO + raised ICP

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17
Q

RED FLAG:

- trauma

A

IC haemorrhage

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18
Q

RED FLAG:

- pregnancy

A

pre-eclampsia

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19
Q

Culprit hormone in hormonal headache

A

Low oestrogen

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20
Q

Tx hormonal headache

A

OCP

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21
Q

1st line Tx trigeminal neuralgia

A

Carbamazepine

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22
Q

2nd line Tx trigeminal neuralgia

A

Surgery

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23
Q

Only bilateral headache (that is also band-like)

24
Q

Unilateral headache that can also be or temporal

25
Headache that comes within an hour of aura
Migraine
26
Headache that comes on in an hour
Tensions
27
Sudden headache that often comes at night
Cluster
28
Pulsating headache
Migraine
29
Tightening headache
Tension
30
Intense shooting/stabbing/electric headache
Trigeminal neuralgia
31
Excruciating pain around the eye
Cluster
32
What headache has radiation to the neck
Tension
33
Headache that lasts 4-72 hrs
Migraine (maybe tension)
34
Headache that lasts seconds-minutes
Trigeminal neuralgia
35
Episodic headache of 15-160 mins with episodes throughout weeks and months of pain-free
Cluster
36
Aura symptoms, vomiting, abdominal pain, hyperacusis, paraesthesia are associated with what headache
Migraine
37
Headache triggered by chocolate, alcohol, COC, cheese, caffeine, travel, exercise
Migraine
38
Headache associated with stress
Tension
39
Tic doloureux is associated with
Trigeminal neuralgia
40
Eye watering, blood-shot and flushing. Rhinorrhoea, miosis and ptosis are associated with what headache
Cluster
41
Headache that is more common in men and smokers
Cluster
42
5/10 headache
Tension
43
Why is a headache diary required for acute management of migraine
Isolate triggers
44
Lifestyle modifications for acute Mx of migraine
- sleep hygiene | - stress Mx
45
When are triptans taken in a migraine
Start of headache, NOT aura
46
Options for prophylactic migraine Mx
- BBs | - tricyclic
47
2ry headache that comes on in mins-hrs
Temporal arteritis
48
Character of menigitis pain
Constant/stiffness
49
Throbbing pain
Temporal cell arteritis
50
Hit with a baseball bat pain
Subarachnoid haemorrhage
51
Fullness/ache pain
++ ICP
52
Jaw claudication
Temporal arteritis
53
Following symptoms are associated with what headache: - fever - generally unwell - non-blanching rash - photophobia
Meningitis
54
Following symptoms are associated with what headache: - >55 yo - scalp tenderness - visual loss - non-paulsatile arteries
Temporal arteritis
55
Following symptoms are associated with what headache: - collapse, — GCS - seizures
Subarachnoid haemorrhage
56
Following symptoms are associated with what headache: - vomit - worse w/ cough/lying down - papilloedema - seizures
++ ICP

Y3 Neurology Conditions (11 decks)

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