HEADACHE AND NEUROLOGIC, SAEM PEDS, SAEM - PROCEDURES,
PSYCH EMERGENCIES, DERM, SAEM TOX, INFXN, OPTHO, FOREIGN
BODIES, SAEM AMS, 2017 CV, 2017 TRAUMA, SAEM MISC, SAEM -
SHOCK AND SEPSIS, ENVIRONMENT AND ENDOCRINE, PULM
EMERGENCIES/ 380+ QS WITH ANS & DEFINITIONS
,Which of the following differentiates common migrainefrom classic
migraine?
A. Lack of neurologic prodrome
B. Presence of phonophobia
C. Presence of nausea
D. Throbbing pain - ✔✔ANSWER✔✔->>A. Lack of neurologic prodrome
Headache - ✔✔ANSWER✔✔->>-Subjective feeling of pain
-Referable to a variety of intracranial and extracranial structures
What type of history should you collect in a patient with a headache? -
✔✔ANSWER✔✔->>-OLDCARTS
-Other symptoms
-Neuro, GI, fever
-If recurrent: Age of onset, prodrome, pattern, concomitant mood
disorder
What signs and symptoms will a patient with a "low risk headache"
exhibit? - ✔✔ANSWER✔✔->>-Alert
-No focal neurological signs
-Young patients
,-Prior or family hx of HA
-Improvement during evaluation
What signs and symptoms will a pt with a "high risk HA" exhibit? -
✔✔ANSWER✔✔->>-Systemic symptoms
-Neurologic symptoms
-Onset
-Older
-Progression "SNOOP"
PE in a HA patient - ✔✔ANSWER✔✔->>-BP and temperature
-Palpation of scalp
-Palpation of sinus
-Pupils
-Fundoscopic exam
-Neuro exam
Diagnostic studies for HA - ✔✔ANSWER✔✔->>Radiologic - consider CT
or MRI: Severe or "Thunderclap" HA; Subacute , progressive HA; Fever,
confusion, or meningeal signs; Suspicion of increased ICP
Lumbar puncture
, What is a lumbar puncture diagnostic for and when should it be
utilized? - ✔✔ANSWER✔✔->>-CT Scan or MRI should be considered
prior to lumbar puncture
-Diagnostic for: Hemorrhage; Infection; Increased ICP (manometry
reading)
What are the 3 Classification of Headaches? - ✔✔ANSWER✔✔-
>>Primary Headaches
Secondary Headaches
Cranial Neuralgias
What types of headaches are primary headaches? - ✔✔ANSWER✔✔-
>>-Tension-type
-Migraine
-Cluster
-Paroxysmal hemicranias
What is the most common form of primary headache? -
✔✔ANSWER✔✔->>tension headache; more common in women than
men
What precipitates tension headaches? - ✔✔ANSWER✔✔->>-Anxiety
-Depression
-Situational stress
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