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Diff Di Final > Headaches > Flashcards

Headaches Flashcards

1
Q

A primary headache is

A

migraine, tension type, cluster

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2
Q

Secondary Headache are

A

caused by underlying organic disease

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3
Q

What is the preferred imaging to rule out hemorrhage

A

CT, if appears normal do a lumbar puncture

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4
Q

What imaging is for the posterior fossa

A

MRI

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5
Q

Onset of headache after 50 is a

A

red flag and consider secondary headache causation

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6
Q

Meningeal tests are

A

kernigs, and brudzinski’s

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7
Q

CN testing esp of

A

CN 2,3,4,6

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8
Q

Migraine pain is normally

A

unilater

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9
Q

tension HA normally

A

band like, bilateral

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10
Q

Cluster HA normally

A

STICTLY unilateral

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11
Q

Temporal arteritis

A

distrubition of temporal artery

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12
Q

Trigeminal neuralgia

A

distribution of trigeminal nerve

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13
Q

acute glaucoma

A

eye pain

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14
Q

Acute recurrent HA assoicated with vomiting, sleepiness, and pain free intervals Most likely

A

Migraine

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15
Q

Chronic progressive HA, with severity and frequency increased over time indicates

A

Structural disorder of CNS suspected

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16
Q

Chronic nonprogressive HA indicates

A

related to stress

17
Q

vomiting without nausea indicates

A

increased intrcranial pressure

18
Q

Epidural hematoma involves

A

arterieal involvement, it is biconvex and

19
Q

epidural hematoma occurs betwen

A

the skull and dura

20
Q

Subdural hematoma involves

A

venous, cresecent shaped

21
Q

Subdural occurs between

A

dura and arachnoid

22
Q

Unilateral throbbing headach preceded by an aura indicates

A

classic migraine

23
Q

unilateral pain with pulsating quality for 4-72 hrs indicates

A

migraine

24
Q

what is the MC types of migraine

A

one without an aura

25
Q

tension type HA normally worse

A

in afternoon or early evening

26
Q

aspirin and over the counter meds seem to relieve what HA

A

tension type

27
Q

Tension type has one of two things but NOT both

A

photophobia or phonophobia

28
Q

Cluster HA are strictly unilateral and

A

periorbital in 80% pf patients

29
Q

lacrimation associated with a runny nose on the same side of HA indicates

A

Cluster HA

30
Q

Cluster HA can make patients

A

pace, bang head against wall, or even attempt suicide

31
Q

Temporal arteritis is a

A

immediate referral bc it can cause blindness

32
Q

a sentinel HA precedes

A

stroke, of subarachnoid hemorrhage

33
Q

What is the MC symptom of chiari malformation

A

HA

34
Q

normal foramen magnum margins is

A

3mm

35
Q

u suspect a skull fracture follow up is

A

CT

36
Q

what is the MC skull fx

A

linear

Diff Di Final (4 decks)

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