OSCE Flashcards
HA red flags
Intracranial bleed: thunderclap, recent trauma
Raised ICP: posture/ valsalva related
SOL: immunosuppression, malignancy, focal neurology, onset >50 yo
Meningitis: rash, fever, neck stiffness, photophobia
GCA: visual problmes, jaw claudication, scalp tenderness
Glaucoma: visual blurring, red eye, halos
Differentials for HA
Primary HA: tension, cluster, migraine, trigeminal neuralgia
Secondary - intracranial: meningitis, SAH, raised ICP, other intracranial causes: venous sinus thrombosis, intracranial hemorrhage, infections, spontaneous intracranial hypotension, pituitary apoplexy
Secondary- extracranial: GCA, glaucoma, sinusitis, HTN HA, hypoxia/hypercapnia, cervical spondylosis, pre-eclampsia, drugs- nitrates, PPI, caffeine, analgesia overuse, hormones
Differentials for red eye
Extra-ocular/orbit: pre-septal/orbital cellulitis, CST, CCF
External eye disease: blepharitis, conjunctivitis, episcleritis, keratitis
Internal eye disease: iritis, uveitis, acute angle closure
