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OS IV > OAT Head Pain > Flashcards

OAT Head Pain Flashcards

1
Q

worst headache of life

A

SAH

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2
Q

new onset focal neurologic weakness

A

stroke

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3
Q

onset headaches at >50 yr old

A

temporal arthritis

neoplasm

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4
Q

associated systemic symptoms

A

meningitis

encephalitis

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5
Q

acute eye pain

A

acute angle glaucoma

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6
Q

high blood pressure

A

hypertensive urgency/emergency

preeclampsia

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7
Q

Tension Headache Pain Pattern

A

bilateral tight/achy pain

radiation from occipital/cervical region

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8
Q

tension headache etiology

A

cervicogenic C1-3

trigeminal cervical complex

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9
Q

tension head common causes

A

myofascial pain referral
cervical facet referral
TMJD

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10
Q

Myofascial pain referral

A

Tension headache
due to overuse or injury to muscles
generates a trigger point

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11
Q

trigger point

A

seen in myofascial pain in tension headaches
palpable knot in muscle
palpation creates a twitch response
reproduces pain pattern

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12
Q

Conservative tx for myofascial pain

A

manual manipulation - ischemia compression
PT
Spray and stretch
dry needling

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13
Q

Cervical Facet referral

A

tension headache
due to degeneration/arthritis, injury, overuse/poor posture
generated by the cervical facet joint capsule

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14
Q

cervical facet sxs

A

palpation of joint reproduces sxs
protective muscle spasms during movement
painful loss of range of motion

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15
Q

cervical facet tx

A

RICE
Conservative
Pharm
Injection

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16
Q

TMJD causes

A

tension headache
malocclusion
disc displacement/joint degeneration
myalgia

17
Q

TMJD pain generators

A

intra-articular - joint

extra-articular - pterygoid m., temporalis m., masseter m.

18
Q

TMJD associated sxs

A

decreased ROM of jaw
clicking of joint
pain with opening/closing/chewing

19
Q

TMJD tx

A 
bite splint, stretching
conservative
pjarm
trigger point injection
surgery contraindicated
20
Q

Preventive Tension headhace

A

SSRI, tricyclics

smoking cessation

21
Q

Migraine pain pattern

A

unilateral throbbing burning pain
may shift
multiple phases

22
Q

migraine associated sxs

A

aura
NAUSEA
photophobia
phonophobia

23
Q

Migraine phases

A

premonitory - fatigue, irritability, difficulty speaking/reading
aura
headache
postdrome - fatigue, inability to concentrate/comprehend

24
Q

Migraine subtypes

A 
migraine without aura
migraine with aura
hemiplegic migraine
migraine and vertigo
abdominal migraine
retinal migraine
25
Q

Migrane triggers

A 
emtional stress
hormones
irregular sleep
diet
caffeine and alcohol
weather
dehydration
smells
meds
26
Q

miagraine etiology

A

cortical spreading depression theory
depolarization of ion channels cuases spreading wave of neuro depression
inappropriate nociceptive sensitization of trigeminocervical pain

27
Q

migraine tx

A

manipulation decreases number of migraine days
accupuncture - evidence of some prophylaxis
triptan, ergots
avoid triggers

28
Q

Medication rebound define

A

chronic pain med use

>15day/month for 3 months

29
Q

medication rebound pain generator

A

chemical dependence on med

30
Q

medication rebound pain generator sxs

A

headache recurring around the same time every day

always relieved with taking the same meds

31
Q

medication rebound tx

A

stop offending medication to break the cycle

32
Q

Cluster headache pain pattern

A

trigeminal autonomic cephalgias

unilateral brief cycles

33
Q

cluster headache sxs

A 
autonomic sxs
sweating
swelling
tearing
stuffy/runny nose
34
Q

cluster headache etiology

A

hypothalamic activation triggers trigeminal autonomic reflex

35
Q

cluster headache tx

A 
oxygen
triptan
ergos
intranasal lidocaine
prophylaxis - verapamil

OS IV (9 decks)

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