Review Note
Last Update: 02/28/2024 08:31 PM
Current Deck: Step 2::Mehlman::Mehlman HY 4
PublishedCurrently Published Content
Text
29M+ lancinating/stabbing pain in cheek lasting several seonds + happens spontaneously; Q asks location of problem:
{{c1::Pons}}
Extra
unusual answer, since trigeminal neuralgia is a peripheral mechanism, but CN V comes from pons;
answer can also be "microvascular compression of CN V"; no acute Tx since Sx subside so quickly; prophylaxis is carbamazepine
Do not confuse trigeminal neuralgia of the V1 distribution with cluster headache; the latter
will occur usually during sleep and will last up to half hour; details such as lacrimation and
rhinorrhea are HY but too easy and often omitted from Qs; Q can mention pupillary changes
during cluster headache; Tx = 100% oxygen; prophylaxis is verapamil (not propranolol).
will occur usually during sleep and will last up to half hour; details such as lacrimation and
rhinorrhea are HY but too easy and often omitted from Qs; Q can mention pupillary changes
during cluster headache; Tx = 100% oxygen; prophylaxis is verapamil (not propranolol).
Migraine prophylaxis on USMLE = propranolol (sometimes just written as beta blockade); Tx
is NSAIDs followed by triptans (serotonin receptor agonists).
is NSAIDs followed by triptans (serotonin receptor agonists).
Lecture Notes
Missed Questions
Pathoma
Boards and Beyond
First Aid
Sketchy
Physeo
Additional Resources
Current Tags:
Pending Suggestions
No pending suggestions for this note.