Neuro Flashcards
1
Q
Cluster HA- Eti/ Sx
A
- Men, middle agd
- Unilateral periorbital pain
- Worse at night, lasts
2
Q
Cluster HA- Tx
A
100% O2
- SQ sumatriptan
- Verapamil for prevention
3
Q
Migraine HA- Eti/ Sx
A
MC morning HA
- Fam hx
- Pulsatile, lateralized throbbing
- N/V
- Photo, phonophobia
- 4-72 H
- Worse with Phys activity
- Aura- viz change MC
4
Q
Migraine HA- Tx
A
- Abortive: Triptans
- Dopamine blockers for N/V
- Prophylax: Beta blockers, CCBs
5
Q
Tension HA- Eti/ Sx
A
Bilateral vise-like
- Constant, worse with stress
- No N/V, focal sx
6
Q
Tension HA- Tx
A
NSAIDs
7
Q
Post- concussive Eti/ Sx
A
w/in 1-2 day following injury
- Subsides gradually
- Constant, dull ache
- N/V, disequalibirium
8
Q
Mass lesion- Eti/ Sx
A
Compression of CN d/t tumor
- Worse with valsalva, exertion
9
Q
Mass lesion- Tx
A
CT/ MRI, tx tumor
10
Q
Giant cell- Eti/ Sx
A
- Panarteritis, > 50 y.o, polymayalgia
- Temporal HA, scalp tenderness,
- Jaw claudication,
11
Q
Giant cell- Dx, Tx
A
- Bx
- High dose prednisone
12
Q
Rebound HA- Eti, Sx
A
Excedrin, caffine, NSAIDs, Rebound HA d/t overuse
- Dull, bilateral pain unresponsive to medication
- Present on awakening
13
Q
Rebound HA- Tx
A
- Withdrawal of meds
- Bridge therapy
14
Q
Triptans-
A
Vasocontriction
- AE- HTN, paresthesias
15
Q
Depakote
A
BB: Hepatotoxicity, fetal risk, pancreatitis
