N1 - Headache (Jiminez) Flashcards Preview

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Flashcards in N1 - Headache (Jiminez) Deck (72):
1

HA:  pain all over

Tension HA

2

Imaging for aneurysm diagnosis

Brain CT without contrast

3

HA:  pounding bitemporal

Caffeine withdrawal HA

4

Tricyclic antidepressants

Tension HA prophylaxis

Amitriptyline --> tx for trigeminal neuralgia (Carbemazepine 1st)

4

worst headache of life

Subarachnoid hemorrhage

aka Thunderclap headache

5

Feeling drained

Sleep it off

Postdrome

6

Inflammation small/medium blood vessels in temporal area

Temporal arteritis

7

Tension headache can trigger _________

Migraines

8

HA:  nausea, vomiting

Migraine

8

HA:  multiple attacks, short-lived

Cluster HA

8

Bleeding from a cerebral aneurysm

Subarachnoid hemorrhage

9

Related to:

multiple sclerosis

damage to myelin sheath

tumor compression

brain lesion

Trigeminal neuralgia

10

HA:  No throbbing

Scalp, temples, back of neck

Tension HA

10

HA:  no nausea/vomiting

Tension HA

10

HA:  red, teary eye

Cluster HA

(Autonomic dysfunction)

12

HA:  photophobia

migraine

13

Associated with autonomic disease

- polymyalgia rheumatica

Giant cell arteritis 

- head, neck, shoulders

15

HA:  pressure behind eye

Migraine

15

When do tumors cause pain

when it causes bleeding or meningeal irritation

16

Throbbing HA on side or back of head

 

Temporal arteritis

17

Elevated sedimentation rate

Need biopsy

Temporal arteritis

18

HA:  nasal congestion

Cluster HA

(Autonomic dysfunction)

19

Opisthotonos - sudden stiffening of back & neck, arching of back

Subarachnoid hemorrhage

19

Brudzinskis sign - not able to straighten leg at knee when hip is flexed

Meningitis

19

Contact btwn normal blood vessel and trigeminal nerve

Trigeminal neuralgia

19

HA:  most common in obese women of childbearing age

Pseudotumor cerebri

20

Tx for viral meningitis

Supportive

21

HA:  pounding top of head during intercourse or exertional activity

Coital HA

22

Bleeding from an arteriovenous malformation (AVM)

subarachnoid hemorrhage

23

Cluster HA prophylaxis

Verapimil

Lithium

23

Tx for temporal arteritis

Steroids

24

HA:  pounding on top of head or back of neck

Hypertension - uncontrolled

25

HA:  Occurs at intervals of months to years, lasts days to weeks

Cluster HA

27

Abnormal brain activity

Migraine

29

Avoid what drugs for tx of migraines

Opioids - cause rebound headaches

29

Severe pain in face upon mild stimulation

Trigeminal neuralgia

30

Migraine treatment

Acetaminophen + metoclopramide

Triptans or Ergots (no children)

Antiemetic: Phenergan & benadryl

31

HA longer than 72 hrs

status migrainosus

32

HA:  throbbing

Migraine

33

Kerning's sign - legs draw up

 

Meningitis

34

Pupil size difference

Subarachnoid hemorrhage

35

Increase in intercranial pressure for no obvious region

Pseudotumor cerebri

37

HA:  severe searing or piercing pain, unilateral

Cluster HA

- similar to migraine, but more severe

38

Aura

classic migraine

40

HA more common in men

Cluster HA

41

temporary blind spot

blurred vision

eye pain

seeing stars or zigzag lines

aura

42

Tx for trigeminal neuralgia

Carbemazepine (seizure med)

Amitriptyline (tricyclic antidepressive)

Radiofrequency ablation

42

HA:  global - all over the head

Chemical HA

44

Constipation

Depression

Fatigue

Irritability

Yawning

Prodrome

46

Symptoms wax and wane with time

HA worse with coughing or sneezing

One sided weakness

Memory or personality change

Tumor

48

HA:  unilateral

Migraine

50

Sudden and unusually severe headache

Nausea, vomiting

vision impairment

loss of consciousness

cerebral aneurysm

51

Morning headaches that get better as the day goes on

Suspicion for sleep apnea

53

HA: lasts 4-72 hours

migraine

54

Pain with eye movement

Meningitis

55

Stress

Hormonal changes

Food additives

Medications

Migraine triggers

56

Most common cause of encephalitis

viral

57

Gold standard for prevention of migraines

Propranolol (beta-blocker)

58

HA:  dull, pressure-like

Tension HA

59

Decreased consciousness w/ worst headache of life

Subarachnoid hemorrhage

60

Second line tx for cluster HA

Lidocaine/Cocaine

Octreotide

Suboccipital steroid injections - lasts for the current episode only

62

Butalbital + aspirin + caffeine

Tension HA acute attack tx

63

Most common type of headache

Muscle Tension Headache (Primary)

64

Temporal nerves most often affected by vasodilation of blood vessels

Migraine

65

Type of migraine w/o aura

common migraine

66

Creates pressure from the inside pushing out

Sinus infection / inflammation

 

67

Photophobia

Confusion

Seizure

Vision problems - double vision

Subarachnoid hemorrhage

68

HA:  blurred vision

Cluster HA

(autonomic dysfunction)

69

HA:  periodicity, recurring pain around same hour

Cluster HA

70

HA:  drooping eyelid

Cluster HA

(Autonomic dysfunction)

71

First line tx for cluster HA

Oxygen

Triptans

72

Causes swelling of optic nerve and results in vision loss

Pseudotumor cerebri