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Step 2 CS > HEADACHE > Flashcards

HEADACHE Flashcards

1
Q

headache key history: location

A

UL vs BL

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2
Q

headache key history: quality

A

dull vs stabbing

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3
Q

headache key history: intensity

A

worst headache of their life

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4
Q

headache key history: timing

A

duration, frequency, progression, day/night/sleep

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5
Q

headache key history: assoc sxs

A

aura
neuro sxs (paresthesias, visual sxs, weakness, numbness, ataxia, photophobia, dizziness, neck stiffness)
n/v
jaw claudication
dental surgery
sinusitis sxs
constitutional sxs (fever, WL, night sweats)

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6
Q

headache key history: exacerbating factors

A

stress, fatigue, menses, exercise, certain foods, alcohol

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7
Q

headache key history: alleviating factors

A

rest, medications

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8
Q

headache key history: hx/fam hx

A

patient and family history of headache; hx of trauma

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9
Q

headache key PE

A 
VS
insp/palp head and neck
ENT
complete neuro exam (incl fundo)
meningeal signs
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10
Q

migraine ddx

A 
tension ha
cluster ha
TIA
partial seizures
pseudotumor
CNS vasculitis
focal seizure
intracranial neoplasm
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11
Q

migraine w/u

A

MRI brain
CT head
CBC
ESR

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12
Q

cluster ha ddx

A

migraine
trigeminal neuralgia
intracranial neoplasm
tension ha

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13
Q

cluster ha w/u

A

MRI brain
CT head
CBC
ESR

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14
Q

temporal arteritis ddx

A 
vasculitis
migraine
cerebral abscess
cluster ha
tension ha
meningitis
carotid artery dissection
pseudotumor
trigeminal neuralgia
intracranial neoplasm
TMJ disorder
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15
Q

temporal arteritis w/u

A 
temporal artery bx
esr
crp
cbc
doppler u/s carotid
mri brain
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16
Q

sinusitis ddx

A 
migraine
tension ha
cerebral abscess
meningitis
intracranial neoplasm
17
Q

sinusitis w/u

A

cbc
xr sinus
ct sinus

18
Q

tension ha ddx

A 
migraine
caffeine/analgesic wd
depression
intracranial neoplasm
cluster ha
pseudotumor
19
Q

tension ha w/u

A 
cbc
elytes
esr
mri brain
lp -- csf analysis
mri brain
20
Q

subarachnoid hemorrhage ddx

A 
meningitis/encephalitis
intracranial hemorrhage
vertebral artery dissection
intracranial venous thrombosis
migraine
hypertensive encephalopathy
intracranial neoplasm
21
Q

subarachnoid hemorrhage w/u

A 
ct head w/o
lp -- opening pressure and CSF analysis
cbc
pt/ptt/inr
urine tox
digital subtraction angiography
mri brain
ct angio
22
Q

meningitis ddx

A 
sah
encephalitis
sinusitis
migraine
intracranial or epidural abscess
23
Q

meningitis w/u

A 
lp -- csf analysis (cell count, pr, gl, gram stain, PCR specific pathogens, culture)
blood cx
cbc
ct head
mri brain
pt/ptt/inr
24
Q

pseudotumor cerebri ddx

A 
migraine
tension ha
intracranial venous thrombosis
intracranial neoplasm
cluster ha
meningitis
25
Q

pseudotumor cerebri w/u

A 
urine hcg
lp -- opening pressure and CSF analysis
dilated fundo exam
fundo eye exam
mri brain
visual fields testing
26
Q

trigeminal neuralgia ddx

A 
tension ha
migraine
cluster ha
tmj disorder
temporal arteritis
intracranial neoplasm
27
Q

trigeminal neuralgia w/u

A

mri brain
cbc
esr

Step 2 CS (39 decks)

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