Workbook5 Flashcards
Primary Headaches
No identifiable underlying cause
Secondary Headaches
Arise from other conditions
If headache is severe and of sudden onset
Subarachnoid hemorrhage or meningitis
Episodic headaches that peak over several hours
Migraine and Tension
New and persisting, progressively severe headaches raise concern of…
Tumor, abscess, mass lesions
Unilateral headaches found in…
Migraine and cluster headaches
Tension headaches found in…
Temporal areas
Cluster headaches found in
Retro-orbital areas
Associated symptoms of nausea and vomiting associated with…
Migraines, brain tumors, subarachnoid hemorrhage
Feelings of euphoria, food cravings, fatigue, or dizziness, aura, change in vision, numbness/weakness in arm or leg associated with…
Migraines
If coughing/sneezing/head position worsens headache it could be…
Pain from brain tumor, acute sinusitis
Pts. with chronic daily headaches taking symptomatic meds 2+ days per week might have…
Medication overuse
Hyperopia
Farsightedness (Difficulty seeing close up)
Presbyopia
Aging vision (impaired near vision)
Myopia
Nearsightedness (problems with distance)
Unilateral visual loss that is painless might suggest…
Vitreous hemorrhage from diabetes or trauma, macular degeneration, retinal detachment, retinal vein occlusion, or central retinal artery occlusion
Unilateral visual loss that is painful might suggest…
Corneal ulcer, uveitis, traumatic hyphema, acute glaucoma, optic neuritis from MS
Sudden and painless bilateral visual loss caused by…
Medications that change refraction (i.e. cholinergics, anticholinergics, and steroids)
Sudden and painful bilateral visual loss caused by…
Chemical or radiation exposures
Gradual bilateral visual loss caused by…
Cataracts, macular degeneration
Slow central visual loss caused by…
Nuclear cataract, macular degeneration
Peripheral visual loss caused by…
Advanced open-angle glaucoma
One-sided visual loss caused by…
Hemainopsia, quadrantic defects
Visual field moving specks/strands suggest…
Vitreous floaters
Visual field fixed defects suggest…
Lesions in the retina or visual pathways
Flashing lights in visual field suggest…
Detachment of vitreous from retina…should have prompt eye consultation
Diplopa arises from…
Lesion in brainstem/cerebellum, weakness/paralysis of extraocular muscles
Horizontal diplopia due to palsy from CN…
III or VI
Vertial diplopia from palsy of CN…
III or IV
Diplopia in one eye with the other eye closed suggests…
Cornea/lens issue
Hearing loss due to…
Congenital, single gene mutations
Conductive hearing loss due to…
Problems in external or middle ear
Sensorinerual loss due to…
Problems in inner ear, cochlear nerve, connections to the brain
Having trouble understanding speech, complaining that others mumble, and noisy environments makes it worse suggests…
Sensorineural loss
Noisy environments help hearing suggests…
Conductive loss
Otitis externa
Pain in external ear
Otitis media
Pain in inner ear
Ear pain associated with other symptoms of respiratory infection/referred from mouth/throat/neck suggests…
Otitis media
Soft wax discharge, debris from inflammation, rash in ear canal suggests…
Otitis media
Tinnitus
Percieved sound with no external stimulus
Tinnitus + hearing loss + vertigo suggests…
Meniere’s disease
Vertigo suggests problem in these places:
Labrynths of inner ear, peripheral lesions of CN VIII, or lesions in central pathways/nuclei in brain
Best way to ask about vertigo:
do you have feelings of being pulled to the ground or off to one side?
Rhinorrhea
Drainage from the nose
Causes of rhinorrhea
Viral infections, allergic rhinitis (hay fever), vasomort rhinitis