Headaches - MusicSoc OSCE Flashcards
Worse in mornign / bending forward/coughing
Intracranial
Unilateral + eye pain
Acute glaucoma
Is SAH arterial or venous?
Arterial
Rx for SAH
HTN Smoking PCK Congenital Drugs
Causes of SAH
Berry aneurysms
AVM = arteriovenous malformation
SAH investigations
CT + angiogram
LP within 12 hrs
What is Terson’s syndrome?
SAH with red eye (vitreous haemmorhage)
Is subdural haemorrhage venous or arterial?
Venous - bridging veins
Causes of subdural
Trauma
Coagulopathy/anticoag use
Presentation of subdural
Hours to DAYS Fluctuating (going in waves like a SUBmarine) consciousness Personality change Diminished verbal and motor response Possible signs of raised ICP
How does
Banana shaped blood on CT
SuB
How does subdural look on a CT?
Banana shaped blood on CT
SuB
Causes of epidural
Trauma
Subdural - who does it affect most?
Alcoholics (fall over)
Elderly
List three primary headaches
Tension,
Migraine
Cluster
Triggers of migraine
Cheese OCP Caffeine Alcohol Stress
What do you call a patient without an aura?
Non classical migraine
What can come with a migraine?
Allodynia - pain when you shouldn’t feel pain
Tingling, numbness?
Associated symptoms for cluster
Teary eyes
Runny noses
What precipitates cluster headaches?
Alcohol
How common is a cluster headache?
5-10 weeks and repeats once a year
Associated symptoms
Swollen eyelid and forehead swelling
Name a cause of rebound headaches?
Medication overuse - withdraw medication - it will worsen the headache at first
sinusitis symptoms
7-10 day hx of fever, headache and nasal congestion or discharge
