Imaging for Headache Flashcards

1
Q

2 modalities used for head imaging

A

CT

MRI

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

IV contrast is used in CT to see…

A

The vessels

Can be a venogram or angiogram

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

Red flags for headache

A
Systemic symptoms, known Ca, immunocompromised
Neurologic deficit
Onset sudden and severe
Older patient with new headache
Previous headache changes character
Positional
Pregnant
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Is white or gray matter darker on CT? Why?

A

White is darker because is the tracts are myelinated, and fat is darker than water
Gray matter is nuclei which have higher water content

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

What is usually the first imaging modality ordered?

A

Non contrast CT of the head

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

Signs of SAH

A
Sudden onset
Severe headache
Photophobia
Neck stiffness
Altered LOC
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

5 cancers that most commonly cause brain metastasis, and one type of cancer that never goes to brain

A
Lung
Breast
GI
Melanoma
Renal
Never prostate!
How well did you know this?
1
Not at all
2
3
4
5
Perfectly