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11 Cards in this Set

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  • Back
Q. 10 DDx for Headahce?
Brain Abscess, Brain Tumor,
Cluster Headache,
Encephalitis, Meningitis, Migraine, Subarachnoid Hemorrhage, Subdural Hematoma, Temporal Arteritis, Tension Headaches
Q. Brain Abscess
Localized head pain
Intensifies over a few days
Increases w/straining (Valsalva)
LOC, drowsiness or stupor, seizures
Sx of neuro impariment, Focal neurological deficits
Q. Brain Tumor
Localized head pain
Worst coughing, Valsalva
Sx of neuro impariment, seizures, visual field defects
Personality changes, intellectual decline
Q. Cluster Headache
Severe unilateral pain, generally around eye
Lasts minutes to hours, usually at night
Q. Encephalitis
ER!
Severe generalized HA
LOC, Seizures
Deteriorates w/in 48 hrs
Diffuse neuro dysfunction
Photophobia, nuchal rigidity, fever, N/V
Q. Meningitis
ER!!
Severe constant generalized HA
Change in mental status
Nuchal rigidity
+ Brudzinski's & Kernig's signs
Fever, N/V, lethargy
Q. Migraine
Photophobia, N/V, phonophobia
Aura (flashing lights), visual field defects, scintillating scotomas
Unilateral/Bilateral intense pain
Q. Subarachnoid Hemorrhage
ER!!
Sudden, severe H/A, often unilateral
Altered/LOC, N/V
Nuchal pain/rigidity
Focal neurological complaints
Visual field defects, pupillary abnormalities
Most often from aneurysm rupture
Q. Subdural Hematoma
ER!
Associated w/head trauma & LOC
Common in elderly, alcoholics, & patients on anticoagulants
Unexplained H/A
Personality changes, focal neuro deficits
signs of inc intracranial pressure
Q. Temporal Arteritis
Throbbing, unilateral HA in temporal region, Scalp tenderness/necrosis
Vision loss (sudden & painless)
Fever/confusion m/b present
Temporal arteries tender & swollen
Jaw claudication
>50 yo
Q. Tension Headaches
Diffuse bilateral pain; not associated with vomiting or nausea
Recurring, often associated with stressful event , Normal neuro exam