Cardiac Tamponade ✔️What is Beck's Triad? What condition is it seen with?
1) Obtain/Maintain an airway
2) Optimize oxygenation and/or ventilation
3) Failure to protect the airway
4) Predicted clinical course ✔️What are the four indications for endotracheal intubation in order of
urgency?
5-7 mg/kg ✔️What is the toxic dose of lidocaine with epinephrine?
Remember the POUND mnemonic:
Pulsatile
Onset (4-72 hours)
Unilateral
Nausea or vomiting
Disabling intensity
In the primary care setting 4 out of 5 of the above symptoms is associated with a 92% probability of
migraine, 62% with 3 out of 5 and 18% with 2/5
Other symptoms include exacerbation with physical activity, photosensitivity, and sensitivity to noise or
smell
,First Aid for the Family Medicine Boards 2 e. ✔️What are common symptoms associated with migraine
without aura?
An aura is a reversible symptom indicative of focal cerebral dysfunction. Examples include gradual onset
and spread of scotomas, scintillations, and/or hemianopic visual field defects; unilateral parenthesias or
numbness; unilateral weakness; and speech disturbances
First Aid for the Family Medicine Boards 2 e. ✔️What is an aura in the setting of migraine? What are
some examples of aura in "classic migraine"?
Headaches are non-pulsatile, constant and frequently occur at night
Associated Horner syndrome
Ipsilateral conjunctival injection
Lacrimation
Nasal congestion
Clusters typically take place in groups over days to weeks (occur at the same time of day in the same
location)
Normal neurological exam
First Aid for the Family Medicine Boards 2 e. ✔️What are the symptoms of cluster headache?
Migraine
Glaucoma
Sinusitis
Uveitis
Trigeminal Neuralgia
First Aid for the Family Medicine Boards 2 e. ✔️What is the differential for cluster headaches?
Acute:
100% O2
Triptans
Ergotamine
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