Review Test Questions Flashcards
HA red flags
- Onset new HA after 50
- Onset new or different HA
- “Worst” HA ever
- Recent history of acute head trauma
- Onset of HA that steadily worsens over time or with coughing/straining/exertion
- HA assoc w Neuro changes, drowsiness, weakness, ataxia (poor mvmts), loss of coordination, deep tendon reflex, or Babinski response
- new HA in pt with HIV
- HA with fever & neck rigidity
- HA assoc w Hypertension
Cause of HAs according to Merck:
Headache is due to activation of pain-sensitive structures in or around the brain, skull, face, sinuses, or teeth.
New HAs are rare in the elderly, T/F?
True
HAs are usually secondary to an underlying condition
With a positive Bakody’s sign, what position should you get them to take for HA relief?
A) lying on side
B)hand on head
C)head btw knees
B) hand on head
This will relieve pressure on the C4/5 or C5/6 N root
+ test is possible C spine Herniation
*if P increase it implies pressure increasing in the inter scalene triangle
Kernig’s test
Test for meningeal irritation, N. Root involvement, dural irritation
Pt : spine, hands cupped behind head
Pt FLXs hip with leg EXT
+ low back, neck head pain, sx received by knee FLX
What is the cause of low flow, high protein edema?
This is caused by obstruction of the lymph (lymphotstasis)
=retention of plasma proteins = attracts more fluid
What causes high flow, low-protein edema?
Decrease in plasma protein accompanied by liver/kidney disease, starvation, or extensive burns
“Lymphodynamic edema”
the increased volume of fluid overwhelms the ability of mmyphatics to remove it
How much fluid does the lymphatic system return to the circulation system?
1-10%
What way does the superficial lymph flow in normal drainage?
Flow along the course of least resistance
What is pitted edema?
Boggy to touch
Tissue retains indentation after pressure is applied
Usually found with chronic pathology
Accumulation of fluids exceeds the absorption rate
