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10 Cards in this Set

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What are the types of headaches in general?
1. Acute


2. Chronic
Once you have established whether a headache is acute or chronic, what do you need to decide?
Whether it is Intra-crainial or
Extra-crainial
Intercrainial Headaches
-Mass lesions
-Displace pain sesitive structures/regions
* Clue = Same Locale, but progressively more severe
Examples of Mass Lesions
Tumor
Abscess
ICB (usually from aneurysm)
Intercranial Mass
Headache, peronality changes, vomitting, intellectual decline, irratibilty.
*Location of brain tumor depends on local neurological deficits.
Need CT with Contrast
Acute Headache?
Begin with history.
Risk= age (family, gender, history Pregnance).
Distruption in QOL
New headache in elderly/pediatric patient
What could a "Thunderclap Headache-worst headache of my life" be?
IC Aneurysm
What should you look at with a pt with Acute headache?
-Vital signs ( fever, htn)
Neurologic exam, Eye exam(papilidema), Nocontrast head CT, Lumbar puncture, cerbral angiography
A cerebral angiogram is for?
Aneurysm and Stenosis
What are some Red Flags for Acute Headache?
-abnormal neurological exam
-Age > 50
-HX of HIV, HTN
-Thunderclap headache
- GI symptoms