Headaches Flashcards

(36 cards)

1
Q

A primary headache is

A

migraine, tension type, cluster

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2
Q

Secondary Headache are

A

caused by underlying organic disease

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3
Q

What is the preferred imaging to rule out hemorrhage

A

CT, if appears normal do a lumbar puncture

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4
Q

What imaging is for the posterior fossa

A

MRI

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5
Q

Onset of headache after 50 is a

A

red flag and consider secondary headache causation

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6
Q

Meningeal tests are

A

kernigs, and brudzinski’s

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7
Q

CN testing esp of

A

CN 2,3,4,6

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8
Q

Migraine pain is normally

A

unilater

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9
Q

tension HA normally

A

band like, bilateral

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10
Q

Cluster HA normally

A

STICTLY unilateral

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11
Q

Temporal arteritis

A

distrubition of temporal artery

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12
Q

Trigeminal neuralgia

A

distribution of trigeminal nerve

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13
Q

acute glaucoma

A

eye pain

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14
Q

Acute recurrent HA assoicated with vomiting, sleepiness, and pain free intervals Most likely

A

Migraine

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15
Q

Chronic progressive HA, with severity and frequency increased over time indicates

A

Structural disorder of CNS suspected

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16
Q

Chronic nonprogressive HA indicates

A

related to stress

17
Q

vomiting without nausea indicates

A

increased intrcranial pressure

18
Q

Epidural hematoma involves

A

arterieal involvement, it is biconvex and

19
Q

epidural hematoma occurs betwen

A

the skull and dura

20
Q

Subdural hematoma involves

A

venous, cresecent shaped

21
Q

Subdural occurs between

A

dura and arachnoid

22
Q

Unilateral throbbing headach preceded by an aura indicates

A

classic migraine

23
Q

unilateral pain with pulsating quality for 4-72 hrs indicates

24
Q

what is the MC types of migraine

A

one without an aura

25
tension type HA normally worse
in afternoon or early evening
26
aspirin and over the counter meds seem to relieve what HA
tension type
27
Tension type has one of two things but NOT both
photophobia or phonophobia
28
Cluster HA are strictly unilateral and
periorbital in 80% pf patients
29
lacrimation associated with a runny nose on the same side of HA indicates
Cluster HA
30
Cluster HA can make patients
pace, bang head against wall, or even attempt suicide
31
Temporal arteritis is a
immediate referral bc it can cause blindness
32
a sentinel HA precedes
stroke, of subarachnoid hemorrhage
33
What is the MC symptom of chiari malformation
HA
34
normal foramen magnum margins is
3mm
35
u suspect a skull fracture follow up is
CT
36
what is the MC skull fx
linear