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14 Cards in this Set
- Front
- Back
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What are the pain-sensitive structures of head and neck ie those that can cause headache?
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Dura, blood vessels, muscles of scalp, tooth+gum, joints of neck,
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Can the brain generate pain causing H?
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Nopers
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What are the primary headaches?
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Cluster Migraine w/ aura, Migraine w/o aura, and Tension
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What are the secondary Headaches?
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Giant cell arteritis, Tumor, Subarachnoid hemorrhage, subdural hematoma, and med-over-use
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Cause of Giant cell arteritis H's?
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Lg. artery of head for ex. enlarged temporal a.
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Pt presents with hx of H's and hard tender artery on head. Dx?
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Giant cell arteritis
= infiltration of lymphocytes |
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Pt presents with mild H pain every time they take their erectile dysfunction drug. Do you think their pain is bilateral and unilateral?
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think med-over use H = BILATERAL
pain present on walking H 's occur daily |
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Pt has sudden severe explosive H and is in and out of consciousness. positive Kernig's sign (resists full extension of flexed knee) and diplopia plus photophobia. Cause?
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Think Subarachnoid = bleeding due to ruptured anerysm
=CSF bloody |
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What kind of a tumor can produce secondary H?
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Astrocytoma
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How do you differenetiate Migraine from cluster and tension H's?
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Best = their frequency
Cluster = Cluster in time (don't have to be in same location) Migraine = random, aura (2 attacks or more) or not (=5 attacks or more), Tension = over a long time, constant (10 attacks or more) Tumor = gets worse over time |
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Whats the gold standard Dx for Migraine?
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N, Disability and Photophobia
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Triggers for migraine?
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hormonal, diet, psychological, physical/environment, sleep-related, misc, drugs
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Describe some migraine auras
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visual, somatosensory (presthesias), motor (hemiparesis), language (aphasia), brainstem
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Whats unusual about tension H's over others?
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Affect men more than women
Pain always near an orbit |
