Diagnosis KP Qs

Question 1

Migraine Key points Qs

Answer 1

Pain: Unilateral, Throbbing
N/V
Photophobia/Phonophobia
Aura - Sparkling light or Buzzing Sound
Triggers - Contraception, Food, Alcohol, Lack of Sleep, Stress, Period
Family Hx

Question 2

Brain Tumor Qs (Red Flag Qs)

Answer 2

LOW, LOA, L&B’s
HA wakes you up at night
Early morning Vomiting
Coughing and Sneezing Makes it Worse
Neuro Deficit - BOV, W/N in Body
PMhx and FHx of CA

Question 3

Tension HA Key Point

Answer 3

Stress Qs
Home, Work
Mood, Sleep

Question 4

Temporal Arteritis KP Qs

Answer 4

Tender Cord on the side of the head?
Worse on Chewing and Combing
BOV
Pain/Stiffness in Shoulder/Hip

Question 5

Subarachnoid Hemorrhage KP Qs

Answer 5

Start Suddenly
Pain start at the back of your head then spread to other parts
Worst HA of your life?

Question 6

Benign Intra Cranial HTN Qs

Answer 6

Medications?
- Pain Killers?
- Antibiotics - Acne Treatment? (Tetracyclines OCP, Steroids, Vit A)
- Contraception
Double Vision
Buzzing Sound in the Ears

Question 7

Trigeminal Neuralgia KP Qs

Answer 7

Pain triggered by any sudden movement of your face
- Including, smiling, sneezing and taking.
- blow of wind on the face triggers the pain
Pain last for 1-2 seconds
Brain Tumor, Oropharyngeal CA, Multiple Sclerosis Qs

Question 8

Benign Essential Tremors KP Qs

Answer 8

Intentional Tremor - Writing, Reading, Eating
Shakiness in voice
Shakiness in legs
Worse with Stress
Better with Alcohol
Family History

Question 9

Parkinson’s Disease KP Qs

Answer 9

Gait - Walking Problem
Bradykinesia - Slowness on performing task
Change in Smell

Question 10

Allergic Rhinitis KP Qs

Answer 10

Any itching in your nose? Sneezing?
Eyes
- Red Watery Eyes?
- Itchiness in your eyes?
r/o Atopic Condition
- Eczema - Rash?
- Asthma – Cough SOB Noisy Breathing
- Allergies – Do you have any allergies
Key Points – RF of Trigger
- Occupation? Exposure to dust or fumes?
- Pets? Carpets?
- Medications?
- Smoking? Or Smoker at home?
FHx of Asthma, Eczema, Hay Fever

Question 11

Lung Cancer KP Qs

Answer 11

LOW, LOA, L&B

Cough? SOB?
- How long
- Dry or Chesty

Red Flag Qs
- Hemoptysis
- Smoking - Since? Packs per day?
- Exposure to Asbestos

Pancoast Tumor Qs
- Pins or Needles, or Numbness in the Arm
- Drooping of the eys

Question 12

TIA/Stroke KP

Answer 12

Neuro Deficit
- Slurred Speech, Balance or Walking Problem
- Weakness and Numbness in the Arm and Leg

CVS RF
- HTN, DM
- Drink or Smoke Alcohol
- Family Hx of Stroke or Heart Attacks (<50 y/o)