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Year 3 Histories/Conditions > Headaches - MusicSoc OSCE > Flashcards

Headaches - MusicSoc OSCE Flashcards

1
Q

Worse in mornign / bending forward/coughing

A

Intracranial

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2
Q

Unilateral + eye pain

A

Acute glaucoma

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3
Q

Is SAH arterial or venous?

A

Arterial

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4
Q

Rx for SAH

A 
HTN
Smoking
PCK
Congenital
Drugs
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5
Q

Causes of SAH

A

Berry aneurysms

AVM = arteriovenous malformation

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6
Q

SAH investigations

A

CT + angiogram

LP within 12 hrs

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7
Q

What is Terson’s syndrome?

A

SAH with red eye (vitreous haemmorhage)

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8
Q

Is subdural haemorrhage venous or arterial?

A

Venous - bridging veins

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9
Q

Causes of subdural

A

Trauma

Coagulopathy/anticoag use

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10
Q

Presentation of subdural

A 
Hours to DAYS 
Fluctuating (going in waves like a SUBmarine) consciousness
Personality change
Diminished verbal and motor response
Possible signs of raised ICP
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11
Q

How does

A

Banana shaped blood on CT

SuB

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12
Q

How does subdural look on a CT?

A

Banana shaped blood on CT

SuB

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13
Q

Causes of epidural

A

Trauma

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14
Q

Subdural - who does it affect most?

A

Alcoholics (fall over)

Elderly

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15
Q

List three primary headaches

A

Tension,
Migraine
Cluster

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16
Q

Triggers of migraine

A 
Cheese
OCP 
Caffeine
Alcohol
Stress
17
Q

What do you call a patient without an aura?

A

Non classical migraine

18
Q

What can come with a migraine?

A

Allodynia - pain when you shouldn’t feel pain

Tingling, numbness?

19
Q

Associated symptoms for cluster

A

Teary eyes

Runny noses

20
Q

What precipitates cluster headaches?

A

Alcohol

21
Q

How common is a cluster headache?

A

5-10 weeks and repeats once a year

22
Q

Associated symptoms

A

Swollen eyelid and forehead swelling

23
Q

Name a cause of rebound headaches?

A

Medication overuse - withdraw medication - it will worsen the headache at first

24
Q

sinusitis symptoms

A

7-10 day hx of fever, headache and nasal congestion or discharge

Year 3 Histories/Conditions (20 decks)

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