HEENT-ASSESSMENT Exam 1 Review-2021.pdf

HEENT-ASSESSMENT Exam 1 R The head ●Every headache warrants workup for life-threatening secondary causes like meningitis, tumor, SAH ●Red flags: inc. severity/freq over 3 months, thunderclap (SAH), new onset after age 50, aggravated or relieved by change in position, inc. with Valsalva or exertion, assoc. w/ night sweats, fever, weight loss, recent head trauma, presence of CA, HIV, pregnancy, change in pattern from past h/a, assoc. papilledema, neck stiffness, focal neuro deficit ●Severe and sudden= SAH or meningitis ●Migraine/tension headache=episodic, peak over several hours ●Don’t give birth control to women with migraines- increased risk of stroke and MI ●New and persistent, severe=tumor, abscess, mass lesion ●Unilateral=migraine, cluster h/a ●Cluster h/a may be retroorbital ●Tension headache in temporal areas ●N/V common in migraine, tumors and SAH ●Prodrome aura common in migraine- e.g. photopsias (flashes of light), fortifications (zig zags of light), scotomas (areas of visual loss surrounded by normal vision ●Valsalva and leaning forward inc. pain from acute sinusitis ●Valsalva and laying down inc. pain from mass lesions