Which antipsychotic is recommended for dementia treatment ✅Risperidone
(Risperdal) [shouldn't use >3 months]
Dizziness (define) ✅The sensation of unsteadiness or feeling off balance, faintness,
light-headedness, & a feeling of movement within the head
^results from inadequate blood flow to the brain
Vertigo (define) ✅The false sensation of rotation or movement of the patient or the
patient's surroundings
^may result from an inner ear disease or disturbance in vestibular center or pathway
Hallpike maneuver (define) ✅Distinguishes between benign vertigo and vertigo
resulting from a CNS lesion
,Performed by rotating the patient's head to one side and then lowering it slowly to 30
degrees below the bodyline
^(+) for lesion when vertical nystagmus occurs with multiple repetitions (benign vertigo
may produce nystagmus initially)
What percentage of headaches are without a pathologic cause? ✅90%
Prevalence of headaches in women vs. men ✅Women are 2-3 X more likely to suffer
from headaches than men
Occurrence of headaches in association with menses? ✅Headaches usually occur
after ovulation and before & during menstruation
^BCP or hormonal replacement therapy should be explored
**Combined hormonal contraceptive contraindicated in women who have migraines with
aura!!**
Types of primary headaches ✅-Tension-type
-Migraine
-Cluster
Tension-type headaches (define) ✅-AKA muscle contraction headaches
-Can last 30 minutes to 7 days
-Mild-moderate bilateral, nonpulsating, tightening/dull pain that is not aggravated by
physical activity
Migraines (define) ✅Can last 4-72 hours; presents as moderate-severe unilateral,
pulsating pain
-Aggravated by physical activity
-Accompanied by N/V & photophobia
Auras (characteristics) ✅Either a set of patterns in the visual fields or a sequence of
strange feelings moving from the hand, up the arm, and onto the face
-Last 5-60 minutes
-Fully reversible
Aura vs. TIA ✅Aura = neurological symptoms slowly evolve; (+) S/S
TIA = neurological symptom onset is rapid; (-) S/S
, Common migraine triggers ✅-Alcohol
-Stress
-Menstruation
-Diet
Diagnostic criteria for migraines without auras ✅2 of the following:
-Unilateral
-Pulsating
-Moderate-severe intensity
-Exacerbated by physical activity
1 of the following:
-N/V
-Photophobia
-Phonophobia
Relationship between migraines and age ✅INVERSE relationship!
Prevalence of migraine is highest in those <40 years old and lowest in those >60 years
old
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