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Assessment & Diagnosis > Headache > Flashcards

Headache Flashcards

1
Q

What are the three main HA classifications?

A

Primary HA/secondary HA/ cranial neuralgias and facial pain

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2
Q

What is a secondary HA?

A

A HA with an underlying cause

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3
Q

What is a primary HA?

A

A HA with no underlying cause

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4
Q

What are the three types of primary HA?

A

Tension, migraine and cluster

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5
Q

Does giant cell arteritis usually cause a unilateral or b/l HA?

A

Unilateral

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6
Q

What is Cushing’s triad suggestive of?

A

Herniation

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7
Q

Subhyaloid hemorrhage is seen with what?

A

Subarachnoid hemorrhage

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8
Q

When should you order a sed rate/CRP?

A

For suspected giant cell arteritis

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9
Q

CTA is good to identify what?

A

Subarachnoid hemorrhage

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10
Q

CTV is good for identifying what?

A

Changes in the venous system

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11
Q

Should HIV+ pt w/new HA get emergent imaging?

A

Yes

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12
Q

In what two cases should a pt w/HA get emergent imaging?

A

New onset with neuro changes OR sudden onset severe HA

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13
Q

If you suspect a pt has a subarachnoid but has a normal CT, what is the next step?

A

Do an LP

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14
Q

When should you image prior to getting an LP?

A

If you suspect a space occupying lesion

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15
Q

What is an absolute contraindication for an LP?

A

Cellulitis near puncture site

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16
Q

What type of meds is recommended for treatment of acute primary HA in the ED?

A

Nonopioid

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17
Q

What is another name for cluster HA?

A

Trigeminal autonomic neuralgia

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18
Q

When do migraines usually develop?

A

Adolescence or early adulthood

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19
Q

What is first line tx for migraines?

A

NSAIDs

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20
Q

What is the best NSAID for migraines?

A

Ibuprofen

21
Q

Haldol and compazine are abortive meds for what?

A

Migraines

22
Q

Serotonin agonists may cause what?

A

Cardiac ischemia

23
Q

Serotonin agonists may not be combined with what?

A

SSRIs or MAOIs

24
Q

Botox can be used as a tx for what?

A

Frequent migraines

25
Q

Are cluster HAs usually unilateral or b/l?

A

Unilateral

26
Q

What is the tx for cluster HA?

A

100% O2 via mask for 15 mins

27
Q

What is the tx for tension HA?

A

Nonopioid therapy

28
Q

What will you see on fundoscopic exam with giant cell arterities?

A

Papilledema

29
Q

Can fever occur with giant cell arteritis?

A

Yes

30
Q

Is impaired vision an early or late sign in giant cell arteritis?

A

Early

31
Q

What is the giant cell arteritis diagnostic criteria?

A

ACR classification

32
Q

What type of anemia is common in giant cell arteritis?

A

Normocytic anemia

33
Q

Are LFTs elevated in giant cell arteritis?

A

Yes

34
Q

What is the tx for giant cell arteritis?

A

Emergent steroids

35
Q

What dose of steroids should someone w/giant cell arteritis be started on?

A

60mg prednisone daily

36
Q

Syncope w/HA is suspicious for what?

A

Subarachnoid hemorrhage

37
Q

Sentinel HA can start how long before subarachnoid hemorrhage?

A

10-20 days

38
Q

Ottawa SAH rule is used when?

A

When pt has normal neuro exam

39
Q

Serial EKG and trop should be done if suspicious for what type of HA?

A

SAH

40
Q

When can a normal CT be used to r/o a SAH?

A

When CT is done within 6 hours of HA onset and pt has normal neuro exam

41
Q

Maintain BP at what for SAH?

A

130-140 systolic

42
Q

What is the tx for SAH if 2/2 AV malformation?

A

Surgical clipping

43
Q

What will be in CSF if pt has SAH?

A

Blood

44
Q

WBC will be less than what in LP for SAH?

A

5

45
Q

What three labs should be drawn to diagnose CVST?

A

CBC, ESR, D-dimer

46
Q

What imaging modality is used to diagnose CVST?

A

MRV

47
Q

How to treat CVST?

A

Anticoagulation

48
Q

Xanthocromia in the CSF indicates what?

A

SAH

Assessment & Diagnosis (5 decks)

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