Primary and secondary headaches

Question 1

What is the difference between a primary and secondary headache?

Answer 1

Primary - no underlying cause (see progress test notes)

Secondary - cause

Question 2

What are red flags for a headache?

Answer 2

SUDDEN

First and worst

Meningeal signs

Serious PMH - cancer, SLE , TB etc

Question 3

What is cushings triad?

When does it occur

Answer 3

opposite to shock so:

Low HR

Raised BP

Low RR

Occurs in haemorrhage

Question 4

What is the common presenation of raised ICP at the medial temperal lobe (Uncus)?

Answer 4

Ipsalateal 3rd nerve palsy - 1st nerve to go

Contrallateral hemiparesis

Question 5

What can cause raised ICP?

Answer 5

Tumour

Stroke

Abscess

CVST

Idiopathic

Question 6

What nerve can give a false localising sign?

Answer 6

6

General pressure can affect it

Question 7

What is key with a facial nerve palsy?

Answer 7

UMN (stroke) or lower (Bells palsy)