Headache Flashcards
1
Q
Headache Differential
A
Meningitis
Tension headache
Migraine
Sinus headache
2
Q
Headache ROS
A
Stress Recent illness Nausea/vomiting Light sensitivity Rash Family have headaches Trauma Weakness numbness Vision changes
3
Q
Headache Exam
A
Vitals and Mental status Skin of face/ neck/ chest Sinuses Ears and Throat Fundi Cervical lymph nodes Neuro exam Strength, Motor, Sensory, Reflexes Brudzinski and Kernig Babinski reflex
4
Q
Headache Plan
A
Lumbar puncture
Blood cultures
Head CT
5
Q
Cranial nerve exam
A
2- Acuity 3,4,6- EOM 5- motor and sensory 7- upper and lower face 8- hearing 9, 10, 12- wiggle tongue, say ah 11- shrug shoulders, turn head
6
Q
Cranial nerve exam
A
2- Acuity 3,4,6- EOM 5- motor and sensory 7- upper and lower face 8- hearing 9, 10, 12- wiggle tongue, say ah 11- shrug shoulders, turn head
7
Q
Headache Red Flags
A
Frequent or severe over 3 months Sudden onset/ worse of life New onset age 50+ Changes with change in position Worse w valsalva or exertion Constitutional symptoms Cancer, HIV, Pregnancy Head trauma Change from previous headaches Papilledema Neck stiffness Focal neuro déficits
