Notes in 05_Secondary Headaches

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Published 02/10/2024 In the context of Secondary Headaches, a history of {{c1::trauma/head injury}} is a red flag for {{c2::intracranial haemorrhage}}
Published 02/10/2024 In the context of Secondary Headaches, a history of {{c1::sudden onset occipital headache}} is a red flag for {{c2::subarachnoid haemorrhage}}
Published 02/10/2024 In the context of Secondary Headaches, a history of {{c1::fever}}, {{c1::photophobia}}, or {{c2::neck stiffness}} is a red flag for {{c2::meningi…
Published 02/10/2024 In the context of Secondary Headaches, the onset of new {{c1::neurological}} symptoms is a red flag for {{c2::stroke}}, {{c2::haem…
Published 02/10/2024 In the context of Secondary Headaches, a history of {{c1::dizziness}} is a red flag for {{c2::stroke}} or {{c2::ear problems}}
Published 02/10/2024 In the context of Secondary Headaches, a history of {{c1::visual disturbance}} is a red flag for {{c2::temporal arteritis}} or {{c2::glaucoma}}
Published 02/10/2024 In the context of Secondary Headaches, a history of {{c1::headache worse on coughing}} and {{c1::nausea and vomiting}} is a red flag for {{c2::raised …
Published 02/10/2024 Causes of Secondary Headaches {{c1::Idiopathic}}{{c1::Sinusitis}} {{c1::Space-occupying lesion (e.g. tumour raising ICP)}} {{c1::Vascular disorders (e…
Published 02/10/2024 Presentation of {{c2::Subarachnoid Haemorrhage}} {{c1::Thunderclap headache: high intensity headache reaching maximum intensity in less than 1 minute}…
Published 02/10/2024 REMEMBER that you MUST exclude {{c1::subarachnoid haemorrhage}} by doing a {{c2::CT scan}} if a person presents with a Thunderclap headache
Published 02/10/2024 Treatment of Subarachnoid Haemorrhage (i.e. Thunderclap Headache){{c1::Treatment of aneurysm (Coiling and Clipping)}}
Published 02/10/2024 Presentation of {{c2::Giant Cell Arteritis}} {{c1::Patient ≥ 50 years }} {{c1::Non-specific new Headache}} {{c1::Scalp tenderness, jaw claudicati…
Published 02/10/2024 Investigations of Giant Cell Arteritis {{c1::Patient ≥ 50 years presenting with new headache}} {{c1::Elevated ESR (usually >50, often much higher, …
Published 02/10/2024 Treatment of Uncomplicated Giant Cell Arteritis{{c1::Urgent initiation of high dose prednisolone 40-60mg per day}}
Published 02/10/2024 Treatment of Complicated Giant Cell Arteritis (i.e. with vision loss) {{c1::IV Methylprednisolone}}
Published 02/10/2024 {{c1::New Daily Persistent Headache (NDPH)}} describes {{c2::a headache with distinct and clearly remembered onset, with pain becoming continuous and …
Published 02/10/2024 Presentation of {{c2::New Daily Persistent Headache (NDPH)}} {{c1::Resemble chronic migraine (unilateral or bilateral head throbbing pain, photopohobi…
Published 02/10/2024 Management of Medication Overuse Headaches {{c1::Remember that they occur due to use of simple analgesia (>15 days/month), triptans, opioids (parti…
Published 02/10/2024 {{c1::Intracranial Hypertension}} is a {{c2::common idiopathic diagnosis in the context of elevated CSF pressure without hydrocephalus}}
Published 02/10/2024 Presentation of {{c2::Intracranial Hypertension}}{{c1::Progressive episodic or persistent headache when lying down}}{{c1::Transient visual obscuration…
Published 02/10/2024 Posture associated with Intracranial Hypertension Headache is {{c1::headache when lying down}}
Published 02/10/2024 Most Common Cause of Intracranial Hypotension is {{c1::post-lumbar puncture}} or {{c1::spontaneous}}
Published 02/10/2024 Posture associated with Intracranial Hypotension Headache is {{c1::headache on standing up that lessens or resolves shortly a…
Published 02/10/2024 Presentation of {{c2::Hormonal Headaches}} {{c1::Headache related to low oestrogen}} {{c1::Non-specific tension headache}} {{c1::Around menopause}} {{…
Published 02/10/2024 Treatment of Intracranial Hypertension {{c1::Weight loss}} {{c1::Lumbar drainage}} {{c1::Diuretics}}
Published 02/10/2024 Treatment of Intracranial Hypotension {{c1::Epidural blood patch}} {{c1::Other (bed rest, fluids, analgesia, caffeine)}}
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