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4.1 > N1 - Headache (Jiminez) > Flashcards

N1 - Headache (Jiminez) Flashcards

1
Q

HA: pain all over

A

Tension HA

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2
Q

Imaging for aneurysm diagnosis

A

Brain CT without contrast

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3
Q

HA: pounding bitemporal

A

Caffeine withdrawal HA

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4
Q

Tricyclic antidepressants

A

Tension HA prophylaxis

Amitriptyline –> tx for trigeminal neuralgia (Carbemazepine 1st)

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4
Q

worst headache of life

A

Subarachnoid hemorrhage

aka Thunderclap headache

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5
Q

Feeling drained

Sleep it off

A

Postdrome

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6
Q

Inflammation small/medium blood vessels in temporal area

A

Temporal arteritis

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7
Q

Tension headache can trigger _________

A

Migraines

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8
Q

HA: nausea, vomiting

A

Migraine

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8
Q

HA: multiple attacks, short-lived

A

Cluster HA

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8
Q

Bleeding from a cerebral aneurysm

A

Subarachnoid hemorrhage

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9
Q

Related to:

multiple sclerosis

damage to myelin sheath

tumor compression

brain lesion

A

Trigeminal neuralgia

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10
Q

HA: No throbbing

Scalp, temples, back of neck

A

Tension HA

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10
Q

HA: no nausea/vomiting

A

Tension HA

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10
Q

HA: red, teary eye

A

Cluster HA

(Autonomic dysfunction)

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12
Q

HA: photophobia

A

migraine

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13
Q

Associated with autonomic disease

  • polymyalgia rheumatica
A

Giant cell arteritis

  • head, neck, shoulders
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15
Q

HA: pressure behind eye

A

Migraine

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15
Q

When do tumors cause pain

A

when it causes bleeding or meningeal irritation

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16
Q

Throbbing HA on side or back of head

A

Temporal arteritis

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17
Q

Elevated sedimentation rate

Need biopsy

A

Temporal arteritis

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18
Q

HA: nasal congestion

A

Cluster HA

(Autonomic dysfunction)

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19
Q

Opisthotonos - sudden stiffening of back & neck, arching of back

A

Subarachnoid hemorrhage

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19
Q

Brudzinskis sign - not able to straighten leg at knee when hip is flexed

A

Meningitis

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19
Q

Contact btwn normal blood vessel and trigeminal nerve

A

Trigeminal neuralgia

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19
Q

HA: most common in obese women of childbearing age

A

Pseudotumor cerebri

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20
Q

Tx for viral meningitis

A

Supportive

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21
Q

HA: pounding top of head during intercourse or exertional activity

A

Coital HA

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22
Q

Bleeding from an arteriovenous malformation (AVM)

A

subarachnoid hemorrhage

23
Q

Cluster HA prophylaxis

A

Verapimil

Lithium

23
Q

Tx for temporal arteritis

24
Q

HA: pounding on top of head or back of neck

A

Hypertension - uncontrolled

25
Q

HA: Occurs at intervals of months to years, lasts days to weeks

A

Cluster HA

27
Q

Abnormal brain activity

29
Q

Avoid what drugs for tx of migraines

A

Opioids - cause rebound headaches

29
Q

Severe pain in face upon mild stimulation

A

Trigeminal neuralgia

30
Q

Migraine treatment

A

Acetaminophen + metoclopramide

Triptans or Ergots (no children)

Antiemetic: Phenergan & benadryl

31
Q

HA longer than 72 hrs

A

status migrainosus

32
Q

HA: throbbing

33
Q

Kerning’s sign - legs draw up

A

Meningitis

34
Q

Pupil size difference

A

Subarachnoid hemorrhage

35
Q

Increase in intercranial pressure for no obvious region

A

Pseudotumor cerebri

37
Q

HA: severe searing or piercing pain, unilateral

A

Cluster HA

  • similar to migraine, but more severe
38
Q

Aura

A

classic migraine

40
Q

HA more common in men

A

Cluster HA

41
Q

temporary blind spot

blurred vision

eye pain

seeing stars or zigzag lines

42
Q

Tx for trigeminal neuralgia

A

Carbemazepine (seizure med)

Amitriptyline (tricyclic antidepressive)

Radiofrequency ablation

42
Q

HA: global - all over the head

A

Chemical HA

44
Q

Constipation

Depression

Fatigue

Irritability

Yawning

46
Q

Symptoms wax and wane with time

HA worse with coughing or sneezing

One sided weakness

Memory or personality change

48
Q

HA: unilateral

50
Q

Sudden and unusually severe headache

Nausea, vomiting

vision impairment

loss of consciousness

A

cerebral aneurysm

51
Q

Morning headaches that get better as the day goes on

A

Suspicion for sleep apnea

53
Q

HA: lasts 4-72 hours

54
Q

Pain with eye movement

A

Meningitis

55
Q

Stress

Hormonal changes

Food additives

Medications

A

Migraine triggers

56
Q

Most common cause of encephalitis

57
Q

Gold standard for prevention of migraines

A

Propranolol (beta-blocker)

58
Q

HA: dull, pressure-like

A

Tension HA

59
Q

Decreased consciousness w/ worst headache of life

A

Subarachnoid hemorrhage

60
Q

Second line tx for cluster HA

A

Lidocaine/Cocaine

Octreotide

Suboccipital steroid injections - lasts for the current episode only

62
Q

Butalbital + aspirin + caffeine

A

Tension HA acute attack tx

63
Q

Most common type of headache

A

Muscle Tension Headache (Primary)

64
Q

Temporal nerves most often affected by vasodilation of blood vessels

65
Q

Type of migraine w/o aura

A

common migraine

66
Q

Creates pressure from the inside pushing out

A

Sinus infection / inflammation

67
Q

Photophobia

Confusion

Seizure

Vision problems - double vision

A

Subarachnoid hemorrhage

68
Q

HA: blurred vision

A

Cluster HA

(autonomic dysfunction)

69
Q

HA: periodicity, recurring pain around same hour

A

Cluster HA

70
Q

HA: drooping eyelid

A

Cluster HA

(Autonomic dysfunction)

71
Q

First line tx for cluster HA

A

Oxygen

Triptans

72
Q

Causes swelling of optic nerve and results in vision loss

A

Pseudotumor cerebri

4.1 (14 decks)

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