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