Approach to Neuro Cases 1 Flashcards
What type of headache is bilateral and deals with pressure or tightness which waxes/wanes, patients may remain active, and can last 30 minutes to 7 days?
Tension-type
What type of headache is unilateral in adults, bilateral in children, has gradual onset, patient rests in dark/quiet room, nausea/vomiting,photophobia are associated symptoms, and can last 4-72 hours?
Migraine
What type of headache is always unilateral, begins around eye or temple, can last 15 minutes to 3 hours, ipsilateral lacrimation/redness of eye are associated symptomes and the pain is excruciating/explosive?
Cluster
What can the SNOOP acronym determine for headaches?
If they are dangerous and need emergent evaluation
What does the S in the SNOOP stand for?
Examples?
1) Systemic symptoms, illness, or condition
2) Fever, weight loss, cancer, pregnancy
What does the N in the SNOOP stand for?
Examples?
1) Neuro symptoms or abnormal signs
2) Confusion, papilledema
What does the first O in the SNOOP stand for?
Examples?
1) Onset is new
2) Sudden thunderclap
What does the second O in the SNOOP stand for?
Exampes?
1) Other associated condition
2) Head trauma, illicit drug use, precipated by sex
What does the P in the SNOOP stand for?
Previous HA history with HA progression or change
What symptom of headache should always result in the need for emergency evaluation?
Sudden thunderclap HA
TiTrATE, an evaluation of dizziness, was first introduced in what year?
2015
What does TiTrATE stand for?
T: Timing of the symptom (onset, duration, evolution)
T: Triggers that provoke the symptoms
A, T, E: And a Targeted Examination
What tests for BPPV (benign paroxysmal positional vertigo) and is positive when it triggers vertigo with or without nystagmus?
Dix-Hallpike Maneuver
What occurs when loose canaliths “get stuck” in semicircular canals and is common among 50-70 year olds?
BPPV
What condition has vertigo with hearing loss, may or may not have tinnitus, and is common among 20-60 year olds?
Meniere disease
