Term
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Definition
- Associated w/ CN VII
- Can't wrinkle forehead
- Associated w/ Lyme disease as well
- Give steroids w/in 10 days to limit length and severity
- careful of eyes |
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Term
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Definition
Migraine-type headache occurs with or after aura
• Focal dysfunction of cerebral cortex or brainstem causes one or more aura symptoms to develop over 4 minutes, or two or more symptoms occur in succession
• Symptoms include feeling of dread or anxiety, unusual fatigue, nervousness or excite- ment, GI upset, visual or olfactory alteration
• No aura symptom should last |
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Term
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Definition
MORE COMMON
Lasts 4–72 hours with two or more of the following characteristics
• Usually unilateral location, although occasionally bilateral
• Pulsating quality, moderate to severe in intensity
• Aggravation by normal activity such as walking, or causes avoidance of these activities
During headache, one or more of the following
• Nausea/vomiting, photophobia, phonophobia
Female:male ratio 3:1
Positive family history in 70%–90% |
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Term
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Definition
Lasts 30 minutes to 7 days (usually 1–24 hours) with two or more of the following characteristics
• Pressing, nonpulsatile pain
• Mild to moderate in intensity
• Usually bilateral location
• Notation of 0–1 of the following ( |
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Term
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Definition
aka migranous neuralgia
- middle aged men w/ heavy alcohol and tobacco use
- suicide headache - clusters of several weeks then disappear for months to years, lacrimation and rhinorrhea
- Common time is ~1 hour into sleep; the pain awakens the person (hence the term “alarm clock” headache)
- Headache is often located behind one eye with a steady, intense (“hot poker in the eye” sensation), severe pain in a crescendo pattern lasting 15 minutes to 3 hours, with most in the range of 30–45 minutes. Pain intensity has helped earn the condition the name “suicide headache.” Most often occurs with ipsilateral autonomic sign such as lacrimation, conjunctival injection, ptosis, and nasal stuffiness |
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Term
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Definition
Tx: tylenol, NSAIDs, combo (butalbital)
prophylaxis available for number and severity |
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Term
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Definition
| - tx: triptans, high-dose NSAIDs, and high-flow oxygen |
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Term
| Primary characteristics of migraines besides pain? |
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Definition
| - photophobia, phonophobia, nausea |
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Term
| Headache red flags acronym |
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Definition
- SNOOP
- Systemic Sx
- Neurologic signs/sx
- Onset - abrupt?
- Onset - age (older than 50 or younger than 5)
- Previous Headache history |
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Term
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Definition
- with the patient lying supine and the hip flexed at 90 degrees
- A positive sign is present when extension of the knee from this position elicits resistance or pain in the lower back or posterior thigh. |
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Term
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Definition
| passive neck flexion in a supine patient results in flexion of the knees and hips. |
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Term
| Lab findings in Bacterial meningitis |
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Definition
- elevated opening pressure
- elevated neutrophils, glucose, decreased protein |
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Term
|
Definition
| Ceftriaxone w/ or w/o vancomycin or ampicillin |
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Term
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Definition
- too much dopamine
- tremor at rest, rigidity, bradykinesia (slowness in the execution of movement), flexed posture, loss of postural reflexes, and masklike facies. At least two of these, one being tremor at rest or bradykinesia, must be present. |
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Term
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Definition
| tremor, rigidity, bradykinesia |
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Term
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Definition
- aka petit mal
- Blank staring lasting 3–50 seconds accompanied by impaired level of consciousness
- onset 3-15 yrs |
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Term
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Definition
- Awake state or momentary loss of consciousness with abnormal motor behavior lasting seconds to minutes;
- one or more muscle groups causing brief jerking contractions of the limbs and trunk, occasionally flinging patient |
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Term
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Definition
- may have an aura
- Rigid extension of arms and legs followed by sudden jerking movements with
loss of consciousness;
- bowel and bladder incontinence common with POSTICTAL PHASE
- 2-5 minutes in duration |
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Term
| Simple partial or focal seizure |
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Definition
- Awake state with abnormal motor, sensory, autonomic, or psychic behavior; movement can affect any part of body, localized or generalized
- NO LOSS OF CONSCIOUSNESS
- rarely lasts > 1 minute
- motor sx often start in single muscle group and spread to entire side of body
- paresthesias, flashing lights, vocalizations, hallucinations common |
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Term
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Definition
- Aura characterized by unusual sense of smell or taste, visual or auditory hallucinations, stomach upset;
- followed by vague stare and facial movements, muscle contraction and relaxation, and autonomic signs;
- may have aura, staring, or automatisms such as lip smacking and picking at clothing
- can progress to loss of consciousness (IMPAIRED LEVEL OF CONSCIOUSNESS) |
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Term
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Definition
- 80% are cerebral ischemia
- initiate warfarin if from cardiac embolus
p. 41 - table 2-8 for stroke presentation |
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Term
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Definition
- Drugs
- Emotional, electrolyte disturbance
- Low PO2
- Infection
- Retention of urine or feces
- Ictal or postictal state
- Undernutrition
- Metabolic or Myocardial proglems
- Subdural hematoma |
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Term
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Definition
- grand mal seizures lasting >10 min in duration
- EMERGENCY!! |
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