Headache sem

Question 1

migraine triggers

Answer 1

weather, wine, poor sleep, MSG, cheese, menses

Question 2

why is fam Hx important in migriane

Answer 2

genetic basis

Question 3

what are additional feature to diagnose migraine

Answer 3

nausea, vomiting, photophobia, usually unilateral

Question 4

what is role of neuropeptides in migraine

Answer 4

precipitate an inflammatory process

Question 5

what do tryptans do

Answer 5

5HT agonists - inhibit vasoactive peptides and promote vasoconstriction

Question 6

what is a senitnal bleed

Answer 6

small mini SAH that resovles

Question 7

what are steps for SAH diagnosis

Answer 7

CT - then LP to look for blood

Question 8

what is patho of trigeminal neuralgia

Answer 8

nerve compression by SCA running right next to it

Question 9

sensory deficits in TGN?

Answer 9

only nerve irritations - no persistence

Question 10

3 treatments of TGN

Answer 10

1. carbamazepine
2. post. fossa decompressionsurg
3. glycerol in nerve root

Question 11

cause of pain in meningitis

Answer 11

stretching of the dura

Question 12

what may be seen on CT in meningitis

Answer 12

contrast enhancement due to BBB extravasated

Question 13

when to give antibiotics

Answer 13

before you even puncture

Question 14

3 tubes in meningitis LP

Answer 14

1. WBC and diff - neutros -bact , just WBC viral
2. glucose and protein - glucose low in bact and protein high in both
3. micro - look for the shit

Question 15

CN probs in menin

Answer 15

infection gets on as it passes through

Question 16

cause of hydro in menin

Answer 16

CSF obstruction