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01 Headache Asynch
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lithium-speaker-fix-four-harry-fillet
Status
Last Update
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Published
04/16/2024
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04/16/2024
What demographic is classically affected by giant cell (temporal) arteritis? {{c1::Elderly females (> 50)}}
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Giant cell (temporal) arteritis may present with {{c1::unilateral headache}} due to involvement of the temporal artery
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Giant cell (temporal) arteritis may present with {{c1::jaw}} claudication
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Giant cell (temporal) arteritis may present with {{c1::visual}} disturbances due to involvement of the ophthalmic artery
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How does the ESR change in a patient with giant cell (temporal) arteritis?{{c1::Increased (often >100)}}
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What is the treatment for a patient with giant cell (temporal) arteritis? {{c1::High-dose corticosteroids}} and {{c2::tocilizumab}}
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Without treatment, patients with {{c2::giant cell (temporal)}} arteritis are at high risk for {{c1::blindness}}
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04/16/2024
Sketchy Pharmacology: Calcium Channel Blockers (CCBs) Calcium channel blockers, such as {{c2::verapamil}}, may be used for {{c1::migraine}} prophylaxi…
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04/16/2024
{{c2::Horner}} syndrome is a triad of ipsilateral {{c1::ptosis}}, {{c1::miosis}}, and {{c1::anhidrosis}}
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Sketchy Pharmacology: Autonomics (β blockers) {{c2::β}}-adrenergic blockers can be used for {{c1::migraine}} prophylaxis
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04/16/2024
What cranial nerve pathology causes repetitive, unilateral, shooting pain in a distribution of CN V lasting < 1 minute? {{c1::Trigeminal neuralgia …
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04/16/2024
{{c2::Subarachnoid}} hemorrhage is characterized by a {{c1::yellow (xanthochromic)}} spinal tap
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Less common causes of subarachnoid hemorrhage include {{c1::arteriovenous (AV)}} malformations and an anticoagulated state
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{{c2::Idiopathic intracranial hypertension}} is also known as {{c1::pseudotumor cerebri}}
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{{c1::Idiopathic intracranial hypertension}} is characterized by {{c2::increased}} ICP with no apparent cause on imaging (e.g. no hydrocephalus, obstr…
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What demographic is classically affected by Idiopathic intracranial hypertension? {{c1::Obese females}}
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Idiopathic intracranial hypertension is associated with vitamin {{c1::A}} excess
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Idiopathic intracranial hypertension may present with symptoms of daily {{c1::headache}}, as well as transient visual changes that are exacerbated by …
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04/16/2024
Idiopathic intracranial hypertension may present with bilateral symmetric {{c1::papilledema}} on fundoscopy
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04/16/2024
Lumbar puncture in patients with idiopathic intracranial hypertension reveals {{c1::increased}} opening pressure and provides headache relief
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Conservative treatment of idiopathic intracranial hypertension includes {{c1::weight loss}}
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Pharmacologic treatment of Idiopathic intracranial hypertension often involves {{c1::acetazolamide}} or {{c2::topiramate}}
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One treatment for refractory Idiopathic intracranial hypertension is {{c1::ventriculoperitoneal (VP)}} shunt placement to reroute CSF from the ventric…
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04/16/2024
One treatment for refractory idiopathic intracranial hypertension is {{c1::optic nerve sheath fenestration}} surgery
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04/16/2024
What is a worrisome sequelae of idiopathic intracranial hypertension if left untreated? {{c1::Vision loss}}
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04/16/2024
Cluster headaches are {{c1::uni}}-lateral
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{{c2::Cluster}} headaches are more common in {{c1::males}} (gender)
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{{c1::Cluster}} headaches are characterized by repetitive, brief headaches that occur seasonally
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Cluster headaches are associated with excruciating {{c1::periorbital::location}} pain
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Cluster headaches may be associated with {{c1::lacrimation}} and {{c2::rhinorrhea}}
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04/16/2024
Cluster headaches may present with {{c1::Horner}} syndrome
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{{c2::Tension}} headaches are {{c1::bi}}-lateral
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Do tension headaches cause throbbing or constant pain?{{c1::Constant/steady pain}}
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04/16/2024
Migraines generally last from {{c1::4}} to {{c1::72}} hours
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Migraines are more common in {{c1::females}} (gender)
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Migraines typically present as a pulsating pain with {{c1::nausea}}, {{c2::photophobia}}, or {{c3::phonophobia}}
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04/16/2024
Venous sinus thrombosis presents with signs/symptoms of increased {{c1::ICP}} (e.g. headache, seizures, focal neurologic deficits)
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04/16/2024
Dural venous sinus thrombosis is associated with {{c1::hypercoagulable}} states
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04/16/2024
First Aid Pharmacology: Neuro/PsychWhat is the clinical use for butorphanol? {{c1::Severe pain relief (e.g. migraine, labor)}}
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Sketchy Pharmacology: Neuro/Psych TCAs, such as {{c2::amitryptiline}}, may be used for {{c1::migraine}} prophylaxis
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First Aid Pharmacology: Neuro/Psych {{c2::Valproic acid}} and {{c3::topiramate}} are anti-epileptics that are useful for {{c1::migraine}} prophylaxis
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04/16/2024
Sketchy Pharmacology: Neuro/Pharm The pain in migraines is due to irritation of CN {{c1::V}}, meninges, or blood vessels
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04/16/2024
Sketchy Pharmacology: Neuro/Pharm Acute management of {{c3::cluster}} headaches includes {{c1::sumatriptan}} and {{c2::100% O2}}
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04/16/2024
First Aid Pharmacology: Neuro/Pharm What drug is used for prophylaxis of cluster headaches? {{c1::Verapamil}}
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04/16/2024
First Aid Pharmacology: Neuro/Pharm What drug is used for chronic pain in tension headaches? {{c1::Amitriptyline}}
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04/16/2024
Internal carotid dissection can present with a tertiary {{c1::horner syndrome}}, as well as profound neurologic deficits due to infarction of the {{c2…
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04/16/2024
Amaurosis fugax presents with a painless, transient, {{c2::monocular}} vision loss that is caused by a small embolus to the {{c1::ophthalamic}} artery
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04/16/2024
{{c3::Horner's}} syndrome:-Characterized by {{c2::miosis (constriction of pupil), ptosis (drooping of eyelid), and anhidrosis (absence of sweatin…
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04/16/2024
This axial CT is consistent with {{c1::subarachnoid hemorrhage::dx}}
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04/16/2024
These are "red flags" for a {{c1::secondary::primary/secondary}} cause of headache:S{{c2::ystemic symptoms (e.g. fever, weight loss)}}S{{c3:…
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04/16/2024
The visual auras seen in classic migraines often include jagged lines called {{c1::fortification spectra}}
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04/16/2024
The first-line treatment for all patients with migraines is {{c1::lifestyle changes}}
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What is the next step in management for a patient who presents with migraine that has lasted >72 hours and has not improved with his…
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04/16/2024
When is it appropriate to give patient IV medications for migraine?{{c1::If it lasts >72 hrs}}
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When is it appropriate to give patient IV morphine for migraine?{{c1::Never}}
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Consider abortive therapy for migraines that occur > {{c1::3}} times per month and prophylactic therapy for migraines that occur > {{c…
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04/16/2024
A newer class of meds for migraine prophylaxis is monoclonal antibodies against {{c1::CGRP}}, which can be taken SQ once a month
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04/16/2024
A migraine that lasts > 72 hours despite abortive medications is called {{c1::status migrainosis}}
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04/16/2024
What cause of primary headache causes pain so excruciating that many patients will be suicidal during the attack?{{c1::Cluster headache}}
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04/16/2024
Cluster headaches are improved by {{c1::walking around::walking around or lying down}}
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04/16/2024
Migraines are improved by {{c1::lying down::walking around or lying down}}
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04/16/2024
What drug class is used for acute pain in tension headaches?{{c1::NSAIDs}}
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04/16/2024
{{c1::Trigeminal}} nerve does most of pain perception of face and intracranially
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04/16/2024
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04/16/2024
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idiopathic intracranial hypertension may be secondary to a {{c1::venous sinus thrombosis}}
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04/16/2024
venous sinus thrombosis can be caued by {{c1::dehydration}}, {{c1::pregnancy}}, {{c1::birth control }}
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04/16/2024
{{c1::Trigeminal cephalalgias}} are headaches associated with autonomic symptoms
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04/16/2024
The trigeminal cephalalgias from longest to shortes duration are:1. {{c1::Hemicrania continua}}2. {{c2::cluster headache}}3. {{c3::paroxysmal hemicran…
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04/16/2024
{{c1::Trigeminal neuralgia}} is characterized by sharp jabs of severe pain in V2 and V3 distribution
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Last Update
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