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First Aid STEP 2 CS > HEADACHE > Flashcards

HEADACHE Flashcards

1
Q

Migraine DDX:

6

A
  1. Tension HA.
  2. Cluster.
  3. Pseudotumor.
  4. CNS vasculitis.
  5. Partial seizures.
  6. Intracranial neoplasm.
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2
Q

Migraine workup:

5

A
  1. CBC.
  2. ESR.
  3. CT head.
  4. MRI brain.
  5. LP-CSF analysis.
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3
Q

Cluster HA DDx:

4

A
  1. Migraine.
  2. Tension HA.
  3. Intracranial neo.
  4. Pseudotumor.
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4
Q

Cluster workup:

5

A
  1. CBC.
  2. CT head.
  3. MRI brain.
  4. LP-CSF analysis.
  5. ESR.
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5
Q

Temporal arteritis (giant cell arteritis) DDX:

9

A
  1. Migraine.
  2. Cluster.
  3. Tension.
  4. Meningitis.
  5. Carotid artery dissection.
  6. Pseudotumor.
  7. Trigeminal neuralgia.
  8. Intracranial neo.
  9. Temporomandibular joint (TMJ) disorder.
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6
Q

Temporal arteritis workup:

7

A
  1. ESR.
  2. CBC.
  3. CRP.
  4. Temporal artery biopsy.
  5. Doppler US carotid.
  6. MRI brain.
  7. LP-CSF analysis.
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7
Q

Sinusitis DDx:

4

A
  1. Migraine.
  2. Tension.
  3. Meningitis.
  4. Intracranial neo.
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8
Q

Sinusitis workup:

4

A
  1. CBC.
  2. XR-sinus.
  3. CT-sinus.
  4. LP-CSF analysis.
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9
Q

Tension DDx:

7

A
  1. Migraine.
  2. Depression.
  3. Caffeine or analgesic withdrawal.
  4. HTN.
  5. Cluster.
  6. Pseudotumor.
  7. Intracranial neo.
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10
Q

Tension workup:

5

A
  1. CBC.
  2. Electrolytes.
  3. ESR.
  4. CT-head.
  5. LP-CSF analysis.
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11
Q

SAH DDx:

7

A
  1. Migraine.
  2. Meningitis/encephalitis.
  3. Intracranial hemorrhage.
  4. VAD.
  5. Intracranial venous thrombosis.
  6. Acute HTN.
  7. Intracranial neo.
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12
Q

SAH workup:

5

A
  1. Noncontrast CT-head.
  2. LP-CSF analysis.
  3. CBC.
  4. PT/PTT/INR.
  5. Urine toxicology.
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13
Q

Meningitis DDx:

4

A
  1. Migraine.
  2. SAH.
  3. Sinusitis/encephalitis.
  4. Intracranial or epidural abscess.
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14
Q

Meningitis workup:

4

A
  1. CBC.
  2. CT-head.
  3. MRI-brain.
  4. LP-CSF analysis — cell count, protein, glucose, gram, PCR for pathogens, culture.
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15
Q

Pseudotumor DDx:

6

A
  1. Tension.
  2. Migraine.
  3. Cluster.
  4. Meningitis.
  5. Intracranial venous thrombosis.
  6. Intracranial neoplasm.
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16
Q

Pseudotumor workup:

4

A
  1. Urine hCG.
  2. CBC.
  3. CT-head.
  4. LP-opening pressure and CSF analysis.
17
Q

Trigeminal neuralgia DDx:

5

A
  1. Tension.
  2. Migraine.
  3. Cluster.
  4. TMJ disorder.
  5. Intracranial neo.
18
Q

Trigeminal neuralgia — Workup:

3

A
  1. CBC.
  2. ESR.
  3. MRI-brain.
19
Q

Key Physical Exam Steps for Headache

A 
Vitals (HTN?)
Palpate head, neck, and sinuses
ENT exam
Complete neuro exam (include funduscopic exam)
Meningeal signs (if acute)
20
Q

Key History for Headache

A

Onset/Duration/intermittence/time of day/chronicity
Frequency
What happens before/during/after headache?
Location (unilateral vs bilateral)
Quality
Radiation
Severity
Aggravating: stress, fatigue, menses, exercise, food, EtOh
Alleviating: rest, medications
Associated sx : parasthesias, numbness, tingling, vision changes, dizziness, photophobia, stiff neck

N/V, jaw claudication, dental surgery, constitutional sx
H/o trauma
Family history

First Aid STEP 2 CS (94 decks)

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