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Y3 Neurology Conditions > Headaches > Flashcards

Headaches Flashcards

1
Q

Location of tension headache

A

Across forehead

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2
Q

Severity of tension headache

A

Mild

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3
Q

Pattern of tension headache

A

Band-like

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4
Q

How does tension headache resolve

A

Gradually

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5
Q

Is there visual disturbances in tension headache

A

No

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6
Q

Associations of tension headache

A
  • stress
  • depression
  • alcohol
  • skipping meals
  • dehydration
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7
Q

Difference between 2ry & tension headache

A

2ry has a clear cause

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8
Q

How long does sinusitis take to resolve

A

2-3 weeks

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9
Q

Sinusitis can be irrigated with

A

Saline

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10
Q

RED FLAG:

  • fever
  • photophobia
  • neck stiffness
A

Meningitis

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11
Q

RED FLAG:

- new neurological symptoms

A
  • haemorrhage
  • malignancy
  • stroke
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12
Q

RED FLAG:

- dizziness

A

Stroke

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13
Q

RED FLAG:

- visual disturbance

A
  • temporal arteritis

- glaucoma

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14
Q

RED FLAG:

- sudden onset occipital headache

A

Subarachnoid haemorrhage

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15
Q

RED FLAG:

  • worse on coughing/straining
  • postural
A

Raised ICP

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16
Q

RED FLAG:

- vomiting

A

CO + raised ICP

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17
Q

RED FLAG:

- trauma

A

IC haemorrhage

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18
Q

RED FLAG:

- pregnancy

A

pre-eclampsia

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19
Q

Culprit hormone in hormonal headache

A

Low oestrogen

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20
Q

Tx hormonal headache

A

OCP

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21
Q

1st line Tx trigeminal neuralgia

A

Carbamazepine

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22
Q

2nd line Tx trigeminal neuralgia

A

Surgery

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23
Q

Only bilateral headache (that is also band-like)

A

Tension

24
Q

Unilateral headache that can also be or temporal

A

Cluster

25
Q

Headache that comes within an hour of aura

A

Migraine

26
Q

Headache that comes on in an hour

A

Tensions

27
Q

Sudden headache that often comes at night

A

Cluster

28
Q

Pulsating headache

A

Migraine

29
Q

Tightening headache

A

Tension

30
Q

Intense shooting/stabbing/electric headache

A

Trigeminal neuralgia

31
Q

Excruciating pain around the eye

A

Cluster

32
Q

What headache has radiation to the neck

A

Tension

33
Q

Headache that lasts 4-72 hrs

A

Migraine (maybe tension)

34
Q

Headache that lasts seconds-minutes

A

Trigeminal neuralgia

35
Q

Episodic headache of 15-160 mins with episodes throughout weeks and months of pain-free

A

Cluster

36
Q

Aura symptoms, vomiting, abdominal pain, hyperacusis, paraesthesia are associated with what headache

A

Migraine

37
Q

Headache triggered by chocolate, alcohol, COC, cheese, caffeine, travel, exercise

A

Migraine

38
Q

Headache associated with stress

A

Tension

39
Q

Tic doloureux is associated with

A

Trigeminal neuralgia

40
Q

Eye watering, blood-shot and flushing. Rhinorrhoea, miosis and ptosis are associated with what headache

A

Cluster

41
Q

Headache that is more common in men and smokers

A

Cluster

42
Q

5/10 headache

A

Tension

43
Q

Why is a headache diary required for acute management of migraine

A

Isolate triggers

44
Q

Lifestyle modifications for acute Mx of migraine

A
  • sleep hygiene

- stress Mx

45
Q

When are triptans taken in a migraine

A

Start of headache, NOT aura

46
Q

Options for prophylactic migraine Mx

A
  • BBs

- tricyclic

47
Q

2ry headache that comes on in mins-hrs

A

Temporal arteritis

48
Q

Character of menigitis pain

A

Constant/stiffness

49
Q

Throbbing pain

A

Temporal cell arteritis

50
Q

Hit with a baseball bat pain

A

Subarachnoid haemorrhage

51
Q

Fullness/ache pain

A

++ ICP

52
Q

Jaw claudication

A

Temporal arteritis

53
Q

Following symptoms are associated with what headache:

  • fever
  • generally unwell
  • non-blanching rash
  • photophobia
A

Meningitis

54
Q

Following symptoms are associated with what headache:

  • > 55 yo
  • scalp tenderness
  • visual loss
  • non-paulsatile arteries
A

Temporal arteritis

55
Q

Following symptoms are associated with what headache:

  • collapse, — GCS
  • seizures
A

Subarachnoid haemorrhage

56
Q

Following symptoms are associated with what headache:

  • vomit
  • worse w/ cough/lying down
  • papilloedema
  • seizures
A

++ ICP

Y3 Neurology Conditions (11 decks)

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