Flashcard Set Preview
| Side A | Side B | ||
| 1 |
T/F: HA are mostly the result of just vasodilation events.
|
F: Vasodilation and Vasoconstriction
|
|
| 2 |
Acute HA's have an on set of _____days max, with _____intensity.
|
2-3, severe
|
|
| 3 |
Examples of acute HA's are:
|
Aneurysm, infection, coitus.
|
|
| 4 |
Subacute HA's have an onset of ______, with _______ intensity.
|
weeks to months, mild.
|
|
| 5 |
Examples of subacute HA's are:
|
Tumor, Temporal arteritis, Trigeminal Neuralgia
|
|
| 6 |
T/F: Chronic headaches are typically not associated with pathology.
|
True
|
|
| 7 |
Examples of Chronic HA's are:
|
Migraine, Cluster, Tension, DJD (yes DJD, it's not a mistake)
|
|
| 8 |
What are the 4 categories or causes of HAs?
|
Neurovascular, Tension and Csp Disease, Metabolic and Miscellaneous
|
|
| 9 |
WIth this category of HA, you must rule out pathology and rule in structural problems by exam.
|
Tension and Csp Disease ... also called Cervicogenic/myotension in the notes
|
|
| 10 |
If a headache is UNILATERAL, we can assume that it is what types of HAs?
|
Cluster or Migraine
|
|
| 11 |
If a HA is BILATERAL, we can assume that it is what type of HA?
|
Tension
|
|
| 12 |
Pulsating/Throbbing HA are what type of HA
|
Migraine and Cluster
|
|
| 13 |
Tightness/Pressure ?
|
Tension
|
|
| 14 |
Dull/Steady?
|
SOL (space occupying lesion for you retards)
|
|
| 15 |
Sharp/Lancinating?
|
Neuritic
|
|
| 16 |
Ice pick-like?
|
migraine, cluster, or giant cell
|
|
| 17 |
Referring to hemorrages: Any age, arterial malfunction, berry aneurysm, and often deadly.
|
Subarachnoid
|
|
| 18 |
Referring to hemorrages: Bridging vein tear in older pts, trauma, and often manageable
|
Subdural
|
|
| 19 |
What is an Arterial-Venous Malformation?
|
When the arterial blood passes into the venous system without going through capillaries.
|
|
| 20 |
What is the MC cause of a Subarachnoid Hemorrhage (SAH)?
|
Rupture of an aneurysm or AVM
|
|
| 21 |
What is a Berry Aneurysm?
|
Congenital weakening of a vessel wall
|
|
| 22 |
What is the classic symptom of a SAH? What other symptoms might the ppw?
|
"Worst Headache ever", stiff neck, and vomiting, stupor, papilledema and retinal damage.
|
|
| 23 |
T/F: With a SAH, you would do a CT scan first, then do a lumbar puncture.
|
True
|
|
| 24 |
What are the two MC neurological infections producing HAs? What is the bacteria that causes...
|
Meningitis and Encephalitis, N. meningitidis, S. pneumoniae
|
|
| 25 |
Where do these bacteria multiply? Why is this important?
|
Subarachnoid Space. Chain rxn of inflamation from fighting viral infection.
|
|
| 26 |
Intensity of HA increases when you sit up, throbs and is bilateral in the occipital region....
|
Infectious HA
|
|
| 27 |
Low Pressure Headaches are common following what procedure?
|
Lumbar Puncture
|
|
| 28 |
What provokes a LPH? What makes it better?
|
erect posture, cough, strain, sneeze... Recumbency, but not by NSAIDS
|
|
| 29 |
CLINICAL PEARL: the more severe the HA, the more frequently it is associated with what 3 conditions?
|
Vertigo, Nausea, and Tinnitus
|
|
| 30 |
Type I Coital Headaches occur with? What does it feel like?
|
Sexual excitement. Dull/ache in head and neck.
|
|
| 31 |
Type II Coital HA is aka______. This HA will occur with?
|
Vascular, explosive. Orgasm....
|
|
| 32 |
Type III Coital HA will occur with _____ and resembles a Low Pressure HA.
|
Erect posture.
|
|
| 33 |
CLINICAL PEARL: A new Type II HA of sudden onset should be evaluated by CT, then Lumbar Puncture....
|
make sure to get can if there is an increase in the HA with an increase in HR.
|
|
| 34 |
Temporal Arteritis is aka....and the pathological hallmark is
|
Giant Cell Arteritis, multinucleated giant cells.
|
|
| 35 |
T/F: Brushing of the hair and lying on the affected side of a Temporal Arteritis helps to relieve...
|
False
|
|
| 36 |
What will you find in your Lab results with a patient with Temporal Arteritis? What will you...
|
Extremely elevated ESR. Bruits, neck and back pain and jaw claudication...sometimes blindness.
|
|
| 37 |
Trigeminal Neuralgia is AKA______ and has facial pain that effects CN____ due to demyelination.
|
Tic Douloureux, V (V2 and V3 only)
|
|
| 38 |
TN pain is described as ...
|
Intense burning (neuropathic pain)
|
|
| 39 |
What differentiates Postherpetic Neuralgia from Trigeminal Neuralgia?
|
Postherpetic Neuralgia affects V1, V2, and V3.
|
|
| 40 |
What type of HA is often a central brain dz needing forms of care?
|
Migraine HA
|
|
| 41 |
What type of Migraine HA presents as UNILATERAL with visual disturbances such as flashing lights...
|
Classic. This is known as a migraine with AURA.
|
|
| 42 |
Migraines without aura's are considered to be ______ migraines
|
common
|
|
| 43 |
Photophobia, phonophobia, nausea, irritability, osmophobia, lassitude(feeling the need to sleep)...
|
Both Common and Classic
|
|
| 44 |
What are the 4 Phases of a migraine HA?
|
Prodrome, AURA, headache, POSTDROME
|
|
| 45 |
What phase occurs immediately before the HA?
|
AURA
|
|
| 46 |
What phase occurs hours to days before the HA?
|
Prodrome
|
|
| 47 |
What is typical to see in Prodrome or Aura?
|
Flashing lights, blind spots or lines.
|
|
| 48 |
T/F: Migraine w/ aura (classic) may occur without a HA, but a migraine without an aura (common)...
|
True
|
|
| 49 |
Classic migraines are most commonly uni or bilateral? and tend to be located where?
|
Unilateral. Frontal/orbital to temporal parietal.
|
|
| 50 |
What is a scintillating scotoma?
|
Flashing light appearance in visual field.
|
|
| 51 |
T/F: Patients that wake up with Classic migraines could be suffering from sleep apnea.
|
True. Sleep apnea causes a disturbance in the sleep cycle that can lead to migraines....
|
|
| 52 |
T/F: Prodromal events and auras are more commonly associated with Common Type migraines.
|
False. Classic Type Migraines. Common type have NO prodrome events
|
|
| 53 |
T/F: Classic type migraines are precipitated many times by foods.
|
False. Common Type migraines are, however.
|
|
| 54 |
What is a rebound HA? When do the HA occur?
|
HA that can occur as a result of taking certain meds or caffeine daily. The HA will occur when...
|
|
| 55 |
What is the clinical presentation of Analgesic HAs, and what is the key to the Dx of such HA?
|
Constant, atypical overly. Patient HISTORY is the key.
|
|
| 56 |
What type of HA is often described as being like a HOT POKER IN MY EYE, lasting 30-90 mins,...
|
Cluster HA
|
|
| 57 |
The MC form is ______, which you can treat cluster HA with __________.
|
Episodic. Litihum Carbonate
|
|
| 58 |
presents with miosis and ptosis. If pts have this condition, they could have a tumor...
|
Horners Syndrome
|
|
| 59 |
Someone who has 10 previous HA ea lasting 30 mins in the past 7 days. They have bilateral...
|
Tension HA
|
|
| 60 |
Tension HA typically begin at what stage of life?
|
Adolescent, and taper off with age.
|
|
| 61 |
T/F: Tension HA radiate to the neck and shoulders
|
True
|
|
| 62 |
Unilateral pain that begins in the neck and spreads to the occipitofrontalis area, moderate...
|
Cervicogenic HA
|
|
| 63 |
Anybody who has a true Cervicogenic HA should definitely be adjusted.
|
True. Multimodal care is the best with these.
|
No comments yet! Be the first to add a comment below!
Please login to post comments.
After login, we will forward you back to this flashcard.