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23 Cards in this Set
- Front
- Back
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FODLAR
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Frequency
Onset Duration Location Association Relief |
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DR FLOPS
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• Duration, Relief, Frequency, Location, Onset, Provocative, Severity
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Tension-type HA
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90% of chronic HA's
Pressing/tightening(non-pulsating) “band-like” back of head, neck bilateral |
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Vascular Headaches
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• Cluster HA
• migraine • toxic vascular HA • hypertensive (HTN) HA dilation & distension branches external carotid artery |
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Cluster HA
who get em |
men - 27-30
heavy drinkers and smokers chiseled facial features |
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Cluster HA Sx
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EtOH, vasodilators make worse
Walk it off hot poker driven in the eye unilateral Can awake patient from sleep dilated, runny/clogged nose, ptosis |
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migraine phases
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• Phase I: prodrome
• Phase II: aura • Phase III: early HA • Phase IV: late HA & resolution • Phase V: postdrome |
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“acephalgic migraine” or migraine equivalent
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Aura without Migraine HA
TIA’s must be ruled out =stroke precursor |
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Retinal Migraine
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“ocular migraine”
Vasospasm in retinal arterioles |
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Pediatric Migraine
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Photophobia
Inability to function (play) Nausea |
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Toxic Vascular HA’s
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- Caused by systemic vasodilation produced by :
• Fever • Quitting caffeine • Inhalation of certain environmental toxins - Throbbing, but not severe as migraine - Disappear when underlying cause is addressed |
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Hypertensive HA’s
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Sustained elevation of diastolic or sudden elevation of systolic component
worse after wake up 20% of all HAs black men |
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Versions/ EOMs
Confirmatory Test |
Park 3-step/ Lancaster Screen
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Cover Test
Confirmatory Test |
Hirschberg/ Maddox Rod
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Near Point of Convergence (NPC)
Confirmatory Test |
Plus Lens Testing
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Near Point of Accommodation (NPA)
Confirmatory Test |
NRA/ PPA/ BCC/ Dynamic Ret
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Stereopsis
Confirmatory Test |
Worth Dot
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Inflammatory/Traction HA’s
“Organic Headaches” |
Sinusitis (Most common)
Giant Cell Arteritis Cranial Neuralgias |
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DAMP SNAPERS
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Mnemonic for Traction HA
- Different HA - Abducens or other CN palsy causing diplopia - Mental status change - Progressive - Suboccipital pain with sensitivity to light - Nuchal rigidity - Aura lasting longer than pain phase - Papilledema - Emesis on waking - Recumbency may cause change in CSF pressure and induce vomiting - Seizures or convulsions |
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Asthenopia
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eye fatigue
refractive error, accommodative dysfunction, binocular incoordination |
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Ophthalmic neuralgia
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shingles
Recurrence along ophthalmic branch of CN V |
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Ophthalmoplegic migraine
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Develop 3rd nerve palsy as the pain phase abates
EOM weakness increases w/# of events |
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Pulsing/throbing HA
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Migraine
Toxic Vascular Hypertensive HA Inflammatory/Traction HA’s |
