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11 Cards in this Set
- Front
- Back
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Q. 10 DDx for Headahce?
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Brain Abscess, Brain Tumor,
Cluster Headache, Encephalitis, Meningitis, Migraine, Subarachnoid Hemorrhage, Subdural Hematoma, Temporal Arteritis, Tension Headaches |
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Q. Brain Abscess
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Localized head pain
Intensifies over a few days Increases w/straining (Valsalva) LOC, drowsiness or stupor, seizures Sx of neuro impariment, Focal neurological deficits |
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Q. Brain Tumor
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Localized head pain
Worst coughing, Valsalva Sx of neuro impariment, seizures, visual field defects Personality changes, intellectual decline |
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Q. Cluster Headache
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Severe unilateral pain, generally around eye
Lasts minutes to hours, usually at night |
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Q. Encephalitis
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ER!
Severe generalized HA LOC, Seizures Deteriorates w/in 48 hrs Diffuse neuro dysfunction Photophobia, nuchal rigidity, fever, N/V |
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Q. Meningitis
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ER!!
Severe constant generalized HA Change in mental status Nuchal rigidity + Brudzinski's & Kernig's signs Fever, N/V, lethargy |
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Q. Migraine
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Photophobia, N/V, phonophobia
Aura (flashing lights), visual field defects, scintillating scotomas Unilateral/Bilateral intense pain |
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Q. Subarachnoid Hemorrhage
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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 |
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Q. Subdural Hematoma
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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 |
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Q. Temporal Arteritis
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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 |
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Q. Tension Headaches
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Diffuse bilateral pain; not associated with vomiting or nausea
Recurring, often associated with stressful event , Normal neuro exam |
