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Health Assessment > Head, Face and Neck including Regional Lymphatic System > Flashcards

Head, Face and Neck including Regional Lymphatic System Flashcards

1
Q

What are 2 questions to ask about someones headache?

A
  • Unusually frequent or severe

- Onset: gradual or suddenly

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2
Q

When asking for location of headache, what can we determine from that? (which headaches occur where)

A
  • Tension headaches: occipital or frontal, or bandlike tension
  • Migraines: supraorbital, retro-orbital or frontotemporal
  • Cluster Headaches: pain around eye, temple, forehead and cheek
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3
Q

When asking patient if pain is localized on one side or all over, what does this tell us?

A

Unilateral or bilateral pain is a clue to the type of headache (ex. cluster headaches, always all over pain)

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4
Q

What does it mean when we ask about character of headache?

A

Whether the pain is throbbing or aching

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5
Q

What is the difference between throbbing and aching headache, and what type of headache does it usually mean

A

Throbbing: Pounding and shooting, migraine/temporal arteritis
Aching: vicelike, constant pressure and dull, tension headache

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6
Q

What type of headaches would you experience ‘excruciating’ pain

A

Migraine and cluster headaches

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7
Q

How often on average do migraines occur and how long do they last

A

2 per month, lasting 1-3 days

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8
Q

How often on average do cluster headaches occur and how long do they last

A

1-2 headaches/day, lasting .5- 2 hours for 1-2 months, but then complete remission for months/years

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9
Q

What can bring on cluster headaches?

A

Alcohol ingestion and daytime napping

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10
Q

What can bring on migraines?

A

Alcohol, letdown after stress, menstruation and eating chocolate/cheese

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11
Q

What would be associated factors to headaches?

A
  • Nausea or vomiting, stomach problems
  • Vision changes, bright lights
  • Neck pain or stiffness
  • Fever, weakness, moodiness
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12
Q

What symptoms are associated with migraines?

A

Nausea, vomiting and visual disturbances

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13
Q

What symptoms are associated with cluster headaches?

A

Eye reddening, tearing, eyelid drooping, rhinorrhea and nasal congestion

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14
Q

What symptoms are associated with tension headaches?

A

Stress and anxiety

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15
Q

What symptoms are associated with meningitis or encephalitis?

A

Nuchal Rigidity (neck resistance to flexion) and fever

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16
Q

Why do we ask about other illnesses patient may have? Give examples

A

Other illnesses such as hypertension, fever, hypothyroidism and vasculitis can produce headaches

17
Q

What type of medications can produce headaches?

A

Oral contraceptives, bronchodilators, alcohol, nitrates and carbon monoxide inhalation

18
Q

Why do we ask if there is any family history of headaches?

A

Migraines are associated with family history of migraines

19
Q

What do people do in effort to treat migraines? Cluster headaches?

A

Migraines: people lie down to feel better

Cluster Headaches: need to move, even just pacing

20
Q

What could it mean if someone loses consciousness before they fall?

A

The head injury may not be caused by the fall, instead they could have a cardiovascular problem

21
Q

When someone has a head injury, why do we ask if they have had a change in consciousness since the injury

A

Change in consciousness is important in evaluating for neurological deficit

22
Q

What is our definition of dizziness?

A

Lightheaded, swimming sensation or falling feeling

23
Q

What is vertigo

A

True spinning feeling caused by neurological disease

24
Q

What in the brain causes vertigo?

A

Labyrinthine-vestibular apparatus and vestibular nuclei in brain stem

25
Q

When vertigo is objective, the patients perception is _______, when it is objective the patients perceptive is _______

A

the room spins, he or she is spinning

26
Q

When we ask patient about what caused the onset, what can neck stiffness, headache and fever be symptoms of?

A

Meningeal inflammation

27
Q

What is the vicious circle of pain?

A

Tension increases pain and disability, which produces more tension

28
Q

When asked if patient has lumps or swelling in neck, what are we looking for?

A

Tenderness: acute infection

Persistant lump: causes suspicion of malignancy (40+ suspect unless proven otherwise)

29
Q

History of irradiation (enlargement?) of neck can increase risk of what?

A

Risk of salivary or thyroid tumours

30
Q

Dysphagia is______

A

Difficulty swallowing

31
Q

Smoking and large alcohol consumption increases____

A

risk of cancer

32
Q

What are the 4 questions we ask about head/neck surgery

A
  • Ever had surgery in head or neck
  • For what condition
  • When did the surgery occur
  • How do you feel about the results
33
Q

What are the two questions we make sure to ask older adults?

A
  • Dizziness and how it affects daily activities

- Pain and how it affects ADL

Health Assessment (11 decks)

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