Duke PA Headache
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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dietary triggers for migraines | show 🗑
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show | hormones, sensory stimlui (lights, odors, sounds/noise), stress (intense activity, loss or change, moving, crisis), environment (weather, altitude, schedule), habits (sleeping patterns, dieting), HTN?
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show | migraine headache
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show | subarachnoid headache, medical emergency
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show | absence of similar HA previously, worsening pattern, focal neurologic s/s, fever, mental status change, rapid onset with strenuous exercise. Pain spreading to lower neck/shoulders.
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show | <5 yo or >50 yo, in a patient with CA, in a patient with lyme disease, in a patient with HIV
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show | intracranial mass lesion
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show | imaging
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show | imaging
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indications for lumbar puncture | show 🗑
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migraine without aura is __ | show 🗑
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right to left cardiac shunt is associated with | show 🗑
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show | potent vasodilator
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show | photophobia, phonophobia, dark, quiet room
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neurologic deficit, precedes migraine, usually stops before onset of headache | show 🗑
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show | loss peripheral vision/tunnel vision preceding migraine
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numbness/tingling of the lips, face, fingers of one hand | show 🗑
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hypersensitivity of the skin during the migraine headache. | show 🗑
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show | estrogen
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show | maximal pain in a few minutes, deep, excruciating, continuous, begins in or around the eye or temple
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show | remains on the same side of the head during a cluster, can switch sides during the next cluster, restlessness, pacing, ipsilateral lacrimation, eye redness, stuffy nose, rhinorrhea, sweating, pallor, and Horner's syndrome
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tension headache | show 🗑
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acute sinusitis | show 🗑
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autonomic features that are present in both cluster and migraine, often mistaken for Sinus HA | show 🗑
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sinus HA specific symptoms | show 🗑
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show | pain may follow maneuvers raising intrathoracic pressure (cough, sneeze, Valsalva), abnormal neuro exam, significant change in prior HA pattern
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most important physical sign of idiopathic intracranial HTN (pseudotumor cerebri) | show 🗑
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show | Giant cell arteritis (temporal arteritis)
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show | fever, fatigue, weight loss, jaw claudication, visual (amaurosis fugax)
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show | sudden, unilateral, sever, brief, stabbing, recurrent episodes of pain (electric shock like)
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cause of trigeminal neuralgia | show 🗑
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Trigeminal neuralgia distribution pattern | show 🗑
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show | tic douloureux
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trigeminal neuralgia triggers | show 🗑
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show | continuum of pain that never resolved following an acute episode of herpes zoster
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show | persistent facial pain that does not have the characteristics of the cranial neuralgias and is not attributed to another disorder
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show | nasopharyngeal cancer, or lung cancer
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show | numerous analogies with trigeminal neuralgia with a different nerve distribution (radiates from oropharynx towards the ear)
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Created by:
bwyche
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