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Neurology > headache differentials; what is the headache? > Flashcards

headache differentials; what is the headache? Flashcards

1
Q

headache so bad they want to go in “dark quiet” room and not do anything

A

Migraine

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2
Q

Feels like ‘tight-band’ around head

A

Tension

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3
Q

Intense pain around one eye (recurrent attacks ‘always’ affect same side)

A

Cluster

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4
Q

pt had headache with Jaw claudication, scalp tenderness.

A

Temporal arteritis (GCA)

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5
Q

Wake up at night from headache and uses a lot of paracetamol

A

Medication overuse headache

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6
Q

Cushing’s triad

A

Raised ICP

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7
Q

what is Cushing’s triad?

-3

A

HTN, bradycardia, bradypnoea

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8
Q

Associated with aura, nausea and photosensitivity

A

Migraine

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9
Q

Patient is restless during an attack (not like migraine)

A

Cluster

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10
Q

Typically patient > 60 years old

raised ESR

A

Temporal arteritis (GCA)

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11
Q

Tender, palpable temporal artery

A

Temporal arteritis (GCA)

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12
Q

Headache
vomiting
Fundoscopy = papilloedema

A

Raised ICP

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13
Q

↓GCS

A

Raised ICP

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14
Q

cluster headache sex most at risk?

A

men

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15
Q

migraines sex most at risk?

A

females

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16
Q

cluster headache, lifestyle factor that increases risk?

A

smoking

17
Q

pt says Taking meds will “take the edge off” but headache quickly comes back

A

Medication overuse headache

18
Q

typical age of onset for GCA/temporal arteritis?

A

Temporal arteritis

19
Q

which headache is not aggravated by routine activities of daily living?

A

Tension headache

20
Q

which headache In women may be associated with menstruation?

A

Migraine

21
Q

throbbing headache,
very severe,
usually unilateral?

A

migraine

22
Q

headache with periorbital pain.

Accompanied by redness, lacrimation, lid swelling

A

Cluster headache

23
Q

headache with raised ESR

and referred for temporal artery biopsy

A

Temporal arteritis (GCA)

24
Q

medication most at risk of causing mediation overuse headache?
-2 drug classes

A

opioids and triptans

25
Q

tropical illness causing headache,

what infection is this?

A

Malaria

26
Q

ophthalmology condition that can cause acute single episode of headache?

A

glaucoma

27
Q

“worst headache I’ve ever had”

very sudden onset

A

subarachnoid haemorrhage

28
Q

causes for acute single episodes of headache?

-7

A 
meningitis
encephalitis
subarachnoid haemorrhage
head injury
sinusitis
glaucoma (acute closed-angle)
tropical illness e.g. Malaria
29
Q

are migraines unilateral or bilateral?

A

unilateral

Neurology (40 decks)

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