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Clinical medicine HEENT > Quiz 1 headache part 2 > Flashcards

Quiz 1 headache part 2 Flashcards

1
Q

causes of SAH

A

-traumatic or spontaneous from berry aneurysm or arteriorvenous malformation

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2
Q

what normally has not onsent

A

berry aneurysm

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3
Q

symptoms of SAH

A

thunderclap, impaired consciousness and meningismus (neck pain)

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4
Q

what identifies the hemorrhage source?

A

cerebral arteriography

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5
Q

what finds the bleed

A

dye from the ct, this is the first step
-may not be on ct within first 24 hours then you would follow up in 2 weeks
-ct may also show midline shift

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6
Q

concerns of SAh

A

-rebleed and development of hydrocephalus
-sentinal bleed can rebleed which can be fatal
-cardiac arrythmia and pulmonary edema

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7
Q

hydrocephalus

A

csf in the ventricles builds up

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8
Q

sentinal bleed

A

minor bleed before a major episode

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9
Q

risk of giant cell arteritis

A

going blind due to the inflammation in the temporal artery

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10
Q

symptoms of temporal arteritis

A

-temporal artery pain, swelling, tender, red
-vision changes, fever, weight loss, anorexia, polymalgia rheumatica

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11
Q

diagnostics of temporal arteritis

A

ESR > 50 *not a definitive test just tells us there is inflammation
-tempral arterial biopsy to look for multinucleated cells and inflammation

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12
Q

temproal arteritis treatment

A

-steroids
-take biopsy within 2 weeks of steroids

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13
Q

temporal arteritis demographics

A

-rare before 50

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14
Q

bacteria acute meningitis is?

A

severe with purulent CSF, fast progression and fatal

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15
Q

aseptic meningitis

A

milder, self-limited, viral, fungal, bacterial

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16
Q

what meningitis needs immediate isolation?

A

Neiserria meningitis

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17
Q

symtoms of meningitis?

A

fever, headache, nuchal ridgidity, chills, lethargy, co ma, photophobia, rash, seizure, hyptothermia, gray skin

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18
Q

what is NOT painful with meningitis?

A

rotation and extension of the neck

19
Q

meningitis tests?

A

-meningismus (flex forward)
-kerning (cant straighten legs)
-brudzinski sign
-tripod position

20
Q

bacterial meningitis has?

A

rash/ petechiae

21
Q

how to identify meningisits bacteria

A

-LP then gram stain, differential count, measure glucose/ protein etc to find correct antibiotic

22
Q

pt has a histopry of using antibiotics to treat infection they could have?

A

aseptic meningitis because it was subdued by the antibiotic use

23
Q

postraumatic headache onset?

A

within days of injury typically one day but will gradually subside normally

24
Q

type of pain for postraumatic?

A

constant dull ache with localized, lateralized or general throbbing

25
Q

t or f postraumatic headache has nausea/ vom

A

true

26
Q

covid headache symptoms:

A

throbbing, pressure whole head
-worsens with activity
-fever body ache etc (covid symptoms)

27
Q

what meds cause med overuse headahce?

A

NSAIDS or Opiods

28
Q

criteria for med overuse?

A

15 days of headache in last 3 months with regular medication overuse> than 3 months

29
Q

vom before pain means?

A

intracranial lession headache

30
Q

what causes increase ICP

A

intracranial lession headache

31
Q

deep dull ache, worse with activity, nausea vom, sleep disturbance, seizure

A

intracranial lession headache

32
Q

key symptom of itnracranial lession headache?

A

personality change and worsens with recumbancy

33
Q

what may make activity triggered headache better?

A

LP

34
Q

demographic of trigeminal nerve/ facial pain

A

women, MS, neoplasia, mid/late life

35
Q

what is episodic pain with burning and stabbing

A

trigeminal nerve

36
Q

t or f exams are negative with trigeminal nerve pain

A

typically true

37
Q

oxcarbazepine and carbamazepine and NSAIDS treat?

A

trigeminal nerve

38
Q

what causes glaucomma

A

schlemm canal narrows for fluid cant enter back to vascular circulation

39
Q

what glaucomma is medical emergency

A

acute angle glaucomma

40
Q

severe pain, face pain, halo lights, nausea/ vom. abdominal pain, what am I?

A

glaucomma

41
Q

glaucomma treatment?

A

timolol (beta blocker), pilocarpine, and acetazolamide (carbonic anhydrase inhibitor)

42
Q

glaucomma eye apperance

A

red, cloudy, pupil not moving/ changing and slightly dialtes with high intraocular pressure

43
Q

postherpetic neuralgia

A

shingles and treat with acyclovir

44
Q

TMJ can be cause by

A

teeth grinding send to dentist

Clinical medicine HEENT (10 decks)

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