Headaches/jaw conditions Flashcards
cervicogenic HA
s/s- IL head pain that may radiate to eye, caused by neck motion
Px- tenderness and pain in c/s region that elicits HA, resistance or limitation of PROM, Cervical flex test +ve, Neuro WNL
POM- conserve
Tension HA
ss- diffuse mild-mod headache that is described as tight band around hear
px- band like distribution, ant head carriage
POM- coneserve
Tension type headache criteria
<15 HA days/month
30m-7days
Bilateral pressing/tight
No photo/phonopbia
(chronic >15days/m)
migrane w aura
s/s- a recurring HA that occurs after or at the same time as sensory disturbances
px- mainly hx
pom- conserve
TMJD- s/s, px, pom
pain in head/neck/kjaw with tenderness felt over joint, sometimes click/deviation
Px- pain with opening/closig, musculature tenderness on affected side, upper cerv restrictions
pom- conserve/night splint
Sinusistis- ss/px/pom
ss-inflammation or swelling of the sinuses when they become blocked and filled with fluid, causing pressure on surrounding mm
px- typically history/obs, transillumination, bending over makes worse
pom-depends on cause
Otis media (acute)- ss/px/pom
s/s- otalgia, fever, conductive hearing loss
px- otoscope: hyperaemia, bulging of tympanic membrane, loss of landmarks
POM- antibiotics, supportive care
Otis media w/ effusion - ss, px, pom
ss- presence of fluid in middle ear w/o any s/s of ear infection
px- discolouration of tympanic membrane (amber or dull)
POM- 90% resolve in 3 m (Surgery if not)
hypertension HA- s/s, px, pom
px- elevated BP, throbbing HA may be worse in the morning or when coughing/straining, May improve when stading
POM- BP management
Cluster HA- SS/Px/ POM
ss- UL HA w intense pain on or around eye, bouts last weeks to m
px- lacrimation, ptosis, nasal stuffiness, tearing, rhinorrhea
POM- conserve contraindicated
Trigeminal neuralgia
ss- episodes of severe electrical pain in the face that is triggered by touching face/chewing/speaking/brushing teeth, usually unilateral
POM: avoid triggers best course of action
Glaucoma- s/s, physical, POM
ss- patchy blind spots on periphery/centrally in visual field, severe HA, blurred vision, halos around eyes
Px- measuring intraocular pressure
POM- medical
Temoral arteritis ss, px, POM
ss- new onset temporal headache, scalp tenderness overlying temporal artery, sudden painless loss of vision
Px- Checking for evevated ESR, CRP, doppler ultrasound
POM- prednisone
