Headache

Question 1

2- Elderly patient presents with anemia, severe headaches, and jaw pain with chewing or biting down?

Answer 1

Temporal arteritis. The key here is the anemia. Remember GCA causes systemic issues like anemia and also causes jaw claudication. It is also more common in older people. Don’t be fooled by TMJ syndrome

Question 2

3) difference between meningioma and GBM on imaging?

Answer 2

Meningioma is extra axial and uniformly enhances. GBM has heterogenous enhancement

Question 3

4 - key optho difference between a CN III palsy and a horners syndrome (ignoring extra ocular movements)?

Answer 3

Pupil dilation in CN III palsy from loss of parasymp (mydriasis), while constricted pupil in horners from loss of sympathetics (miosis)

Question 4

6 - medication for primary treatment of migraines (abortive medication)

Answer 4

Sumatriptan