NMS II- Headaches Flashcards

Question

specific characteristics of life threatening headaches

Answer 1

relatively short history of onset acute, seere headache pain positive valsalva's and triad of dejerine exacerbated by recumbency and is more severe upon wakening but can become more tolerable throughout the day

Answer 2

recumbency increases the intracranial pressure from the distribution of the cerebral fluids

Answer 3

"hat band" or localize around occiput

Answer 4

begins during the day and increases severity as day progresses

Answer 5

patient will usually have this headache before | patient may display anxiety or be chronically depressed

Answer 6

tension increases as day progresses life threatening decreases as day progresses ----- tension feels like outside-inward pressure tension is accompanied by stress most of the time

Answer 7

``` adjustments patient identify cause and try to reduce tension rest with nick in normal cervical curve moist heat cryotherapy drink plenty of water eliminate caffeine ```

Answer 8

acute muscle contraction subacute muscle contraction headache chronic muscle contraction headache migraines

Answer 9

most common type of tension headaches pain is short in duration aching pain pain may begin in neck and become generalized throughout cranium pain may be relieve by stretching or gentle massage of involved muscular area

Answer 10

prolonged headaches for days pain interferes with ADLs pain is generalized throughout cranium can have nausea or vomiting

Answer 11

related to physical or emotional trauma pain is present when patient goes to bed and can wake patient from sleep, pain can be present upon wakening pain is generalized in the head and may include shoulders pain is described as dull ache and outward to inward direction

Answer 12

classical atypical cluster

Answer 13

``` retro-orbital or temporal in location vascular throbbing/pounding pain unilateral possible warning signs (aura) nausea and vomiting onset usually begins in childhood can be familial ```

Answer 14

``` frontal or temporal region unilaterally characteristically throbbing or pounding begins upon wakening patient experiences aura symptoms: visual disturbance nausea, vomiting ```

Answer 15

alcohol, bright lights, positional stress

Answer 16

rest, sleep, darkened room

Answer 17

bilateral, one side more severe dull ache or stabbing pain in or behind eye area can occur upon wake or later in the day dull and relentless pain

Answer 18

bright lights, noise, tension

Answer 19

rest and darkened room

Answer 20

unilateral, sudden onset, orbital to remple, nose, upper jaw or neck brief duration of pain (stabbing) occurs in clusters, frequently during sleep and patient is wakened middle aged (55 or older) males are more prevalent (6:1) temporal pain unilaterally knife like-stabbing, shooting tenderness in scalp area

Answer 21

``` redness of eye on affected eye increase in lacrimation rhinorrhea stuffiness of nostril swelling of temporal vessels on affected side cachexia generalized malaise/fatigue muscle aches around affected area ```

Answer 22

combing hair, pain may shoot down into cervical spine area and touching area of pain exacerbates pain

Answer 23

head injury local pain with tenderness at site of impaction pain will last a few hours to several days and then patient may be symptom free

Answer 24

headache vertigo impairment of memory and concentration possible skull fracture

Answer 25

``` most common dull, aching, pressure like sensation described as weight on top of head location is entire scalp patient may be anxious ```

Answer 26

pain is local to injury site | tender zone at point of pain