Headache Flashcards
What is the preferred imaging modality to rule out hemorrhage?
CT, then maybe a lumbar puncture
If you want to image the posterior fossa what imaging do you need?
MRI
Primary headaches effect what age group?
20-50
Onset of a headache after 70 is a red flag for what?
Temporal arteritis
What orthos do you use to look for meningitis ?
Kernigs, brudzinskis
One of the most common headache presentations is associated with what?
Whiplash
What is the most typical type of headache?
Chronic noprogressive
Most patients with a headache will come into the office with either which 2 kinds?
Tension or migraine
If someone comes in with nausea, photophobia, and exacerbation by physical activity and aura what are you thinking they have?
Migraine
If you think they have a hypertensive headache what number does it have to be?
Greater than 150 mm Mg diastolic
If a CT is Biconcave you know it’s what?
Epidural hematoma
If on a CT you see a crescent shape in the head you know its?
Subdrual hematoma
A epidural hematoma is between what two things?
Skull and dura
A Subaru hematoma is between what 2 things?
Dura and arachnoid
What kind of blood involvement is a epidural hematoma?
Arterial
What type of blood involvement is a subdural hematoma?
Venous
Migraine with aura is more common in who?
Females
Are migraines with aura bilateral or unilateral?
UNILATERAL
WHAT IS A a Scotoma??
Blind spot
How long do migraines with aura last>
30 min
What do patients with a migraine with aura skeek?
Dark quiet place
What is the most common headache?
Migraine without aura
Are migraines with out aura unilateral or bilateral ?
Unilateral
Which is more severe and last longer mirage without or with aura?
Without aura is less severe and will last longer
When do tension headaches get worse?
Afternoon or early evening
Are tension headaches bilateral or unilateral ?
Bilateral
What type of headache is described as band around the head?
Tension
How long do tension headaches last?
Days or weeks
Do tension headaches have nausea and vomiting ?
No
Can tension headaches have photophobia and phonophobia?
Not both, one or the other
What headache is due to referral from soft tissues and articular structures?
Cervicogenic
What headache is common in middle aged dudes ?
Cluster
Where are cluster headaches most common?
Orbital in location and unilateral
How long do cluster beaches last?
30 min
What headaches are assoacited with lacrimation and a runny nose?
Cluster
What type of headaches drives patients to attempt suicide?
Cluster
Does chiropractic help with cluster headache?
No
If you suspect temporal artieritis what should you do?
Referral immediacy
What is the big worry with someone with temporal arteritis?
They could go blind
What is elevated in someone with temporal arteritis?
ESR and C reactive protein
How is temporal arteritis treated? >
Corticosteroids
WHAT ARE the two forms of stroke?
Ischemic and hemorrhagic
What goes FAST stand for/
Face drooping, arm weakness, slurred speech, time counts
What is described as the worst headache of my life?
Hemorrhage stoke
What specific type of headache is associated with a hemorrhage stroke?
Sentinel headache
Are there reliable and safe tests that can rule out and VAD in progress ?
No
What are the 5 D’s for stroke?
Dizziness, drop attacks, diplopia, dysarthria, dysplasia
What are the A and 3 N’s for stoke?
Ataxia, nauseate, numbness, nystagmus
If you cam raise both eyebrows does that mean you should be thinking stroke or Bell’s palsy?
Stoke
What is optic disc swelling that is secondary to elevated intercranial pressure?
Papilledema
Is papilledema usually bilateral or unilateral?
Bilateral
What percent of patients with brain tumors experience headaches / ?
50
Where would a tumor be if the patient has changes in. judgement including loss of initiative, sluggishness?
Frontal love of the cerebrum
Where would a tumor be in their is partial or complete loss of vision ?
Occipital or temporal lobe
Where would a tumor be if the patient has lost their balance and fine motor skills?
Cerebellum
Inability to look upward could be a tumor where?
In the pineal gland
What are the two most common brain tumors in adults?
Gliomas and meningiomas
If you see a huge sella Turcica on x ray what are you thinking?
Pituitary macroadenoma
What is the normal size of the sella turicia?
16x12
What is the most common symptom of a chiari malformation?
Headache
What is the normal measurement for a chiari measurement ?
Normal is less than 3 mm
What lab do you do for pagets?
Alkaline phosphate
Cotton wool/fluffy densities are assocaited with what?
Pagets
What is the most common kind of skull fractures?
Linear
