Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Pediatrics > Headaches > Flashcards

Headaches Flashcards

1
Q

Tension headaches

A

Result of stress (emotional, family, school)

  • sore posterior neck muscles
  • band around the head
  • episodic
  • mild to moderate quality
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Migraines in kids

A

most common cause of recurrent headaches in kids

  • cyclical vomiting, abdominal migraines, BBPV
  • severe, throbbing, photophobia, N/V
  • unilateral, frontal lobe
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Precipitating and alleviating factors of migraines

A

Precip: stress, bright lights, odors, foods
Alleviate: sleep/medicine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Risk factors for migraines

A

family history

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Classic vs common migraines

A

classic - associated with aura

common - no aura

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Red Flags for headaches

A 
Associated with projectile vomiting
Sudden onset
Accompanied by fever and photophobia
Worsens with cough/valsalva
Progressively worsening
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Children with undue stress

A

May present with somatic complaints

- put it into context

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Concerning vitals with a headache

A

Fever, tachycardia –> infections

Hypertension, bradycardia, irregular respirations –> cushings triad of ICP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Allergy findings

A

Allergic shiners –> bluish under eyes
Allergic salute –> upward wiping of nose
Dennies lines –> inflammation of conjunctiva
Cobblestoning –> appearance of conjunctiva from inflammation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Pseudotumor cerebri

A

pressure in brain increases for unknown reason –> absence of tumor or hydrocephalus

  • headaches, diplopia, vomiting
  • associated with obesity, metabolic disorders, meds, infections
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Diagnosis of pseudotumor cerebri

A

normal anatomy
increased ICP
normal CSF

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Headache diary

A 
Character
Duration
Location
Associated symptoms
Activity
Triggers
Alleviating
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Ataxia

A

lack of coordinated muscle movements

- nonspecific neuro signs suggestive a problem with cerebellum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

DDx with ataxia

A 
Infectious cerebellitis
Post-infectious cerebellitis
Toxin/med
Tumor
Opsoclonus/myoclonus syndrome
Hydrocephalus
Migraine
Neurodegenerative disease
Psychiatric Illness
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Basilar migraine

A

bilateral visual disturbances, transient cortical blindness

- transient loss or impairment of consciousness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Nystagmus

A

rhythmic beating of the eyes

- sign of cerebellar disease (most prominent looking toward the side of disease)

17
Q

Cerebellum

A

play important role in motor control (coordination, position)

  • can lead to obstructive hydrocephalus
  • Vermis (midline) –> truncal ataxia, dysarthia
  • fall toward side of lesion and nystagmus toward lesion
  • deep lesion –> resting tremor, myoclonus
18
Q

Visualizing suspected brain tumors

A

MRI provides excellent views of posterior fossa

19
Q

Distinguishing neuro exam findings

A

Infratentorial lesions - cerebellar signs and ICP
Supratentorial lesions - focal motor/sensory findings
Cerebellar hemispheric - changes in muscle tone and DTR
Brain stem tumors - CN palsies and gaze problems

20
Q

Brain tumors in kids

A

2nd most common solid tumor –> incidence rising

Mortality decreasing –> morbidity high

21
Q

Risk Factors for tumors

A

Ionizing radiation

Genetic conditions

22
Q

Incidence by age

A

supratentorial
2-13 yrs –> infratentorial
adolescence and adulthood –> supratentorial

23
Q

Brain stem gliomas

A

diffuse infiltration of pons
surgical resection required
prognosis very wide

24
Q

Ependymomas

A

arise from 4th ventricle –> sx from hydrocephalus

surgical resection followed by radiation

25
Q

Astrocytoma of cerebellum

A

best prognosis –> cystic component

surgical resection and possible radiation

26
Q

Medulloblastoma

A

MOST COMMON PEDIATRIC BRAIN TUMOR

  • can spread throughout CNS
  • surgical resection, radiation, chemotherapy
27
Q

Complications of brain tumors

A

Developmental and behavior problems

Pediatrics (36 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions