Headache

Question 1

headache

Answer 1

1. angle closure glaucoma
   2.refractory error
   3.gca
   4.trauma/injury
   5.meningitis
   6.SAH
   7.S.O.L
   8.MIGRAINE
   9.CLUSTURE HEACHE
   10.TENSION HEADACHE
   11.FRONTAL SINUSITIS

Question 2

a/e of steroids

Answer 2

1.metabolic:d.m b.p
2.water retention,incr appetite weight gain
3.steroid myopathy
4.osteoporosis
5.immunosuppresion
6.behavioural-depress anxious
confused
7.peptic ulcer
8.glaucoma,catarct
9cushing habitus
HPA axis

Question 3

TIA(extras)

Answer 3

headache
loc
past similar attacks
M-dia, bp, cholestrol,heart related incidents,abnormal heart beat
blood:sugar,cholestrol
ecg for rhythm prob
carotid doppler
ct of head
fast

Question 4

head injury <ct within 1 hr>

Answer 4

gcs less than 13 on initial examination

#gcs less than 15 after 2 hrs
#open or depressed skull fracture
#basilar skull fracture
-heamotympanum
-panda eye
-battle sign
-csf leak from ear and nose
#post traumatic seizure
#focal neurological deficit
#more than 1 episode of vomitting

Question 5

ct within 8 hr

Answer 5

loc +>65 yr ; h/o bleeding ad clotting disorder;dangerous in jury mech. ;>,30 min retrograde amnesia

Question 6

ques of head injury

Answer 6

slip,trip,injury

#loc-present/absent,how long,did you recover frm it cmpletely
#seizure#urine
#vomit
#ent bleed
#amnesia-hw much remem b4 incident ?
#headache
#focal neurological deficit

Question 7

safety netting for head injury

Answer 7

continued headache

#continuous vomitting
#drowsiness
#fits

Question 8

difficulty in walking

Answer 8

first time or had this before
since when <GULLUAN>
how did it start <G.B>
b/l or not<GB B/L>
M.S=had symp all these days since it started or any day where you did not have symp
any particular time of the day,more in evening
fever,vision,speaking,swallowing,bowel and bladder <transverse>
hot cold sensation coz no sensory loss in gbs,mg,polymyo but in t.m
botulism:food outside
g.b.s---FEVER IN RECENT PAST ?DIARR ?</transverse></G.B></GULLUAN>

Question 9

d.d for difficulty in walking

Answer 9

gullian barre
myasthenia gravis
muktiole sclerosis
transverse myelitis
polymyositis
dermatomyositis
botulism

Question 10

tests for g.bs

Answer 10

csf lumbar puncture:albumino-cytological dissociation
electromyography
nrv conduction test