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24 Cards in this Set
- Front
- Back
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5 causes of acute headache
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SAH
stroke/TIA meningitis/encephalitis hypertensive encephalopathy postictal |
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4 causes of subacute headache
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giant cell arteritis
intracranial mass idiopathic intracranial HTN trigeminal neuralgia |
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giant cell arteritis headache is usually located ___ly but commonly has ___
it is dxed by ___ it is txed by ___ |
over temporal arteries
jaw claudication arterial biopsy prednisone |
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idiopathic intracranial HTN is aka ___
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pseudotumor cerebri
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4 signs of IIH
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papilledema
visual loss diplopia pulsatile tinnitus |
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tx for IIH (2)
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acetazolamide
furosemide |
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for refractory IIH, do one of (2)
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ventriculoperitoneal shunt
optic nerve fenestration |
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divisions of trigeminal nerve affected by trigeminal neuralgia
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2
3 |
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tx for trigeminal neuralgia
if you use this, watch for ___ |
carbamazepine
agranulocytosis |
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3 kinds of chronic headache
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migraine
cluster tension |
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migraine is usually unilateral/bi
pain is pulsatile/constant |
unilateral
pulsatile |
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___% of migraine has aura
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15--20
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migraine has ___ predominance
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female
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migraine is caused by intracranial ___
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vasoconstriction
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5 common migraine sx
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photophobia
phonophobia osmophobia vertigo nausea/vomiting |
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3 kinds of meds for acute migraine
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simple analgesics
ergot alkaloids 5-HT agonists |
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___ is an ergot preparation for migraine
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dihydroergotamine
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___ is a 5-HT agonist for migraine
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sumatriptan
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___s are effective in migraine prophylaxis, e.g.
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TCA
amitryptyline |
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cluster headache has ___ predominance
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male
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cluster headaches are unilateral/bi
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unilateral (always, unlike migraine)
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cluster headache sx (3)
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conjunctival injection
lacrimation Horner's syndrome |
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cluster headache tx (5)
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migraine drugs
verapamil 100% O2 prednisone lithium |
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chronic cluster headache tx
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indomethacin
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