Primary headaches ✔✔CORRECT ANSWER✔✔caused by the headache itself
w/ no underlying cause
- bilateral & mild to moderate intensity
- ex.) tension or migrane headaches
Secondary Headaches ✔✔CORRECT ANSWER✔✔Arise from other
conditions... hemorrhage, tumor..
,- Look for 'red flags'
Red Flags of headaches ✔✔CORRECT ANSWER✔✔- recent onset
- acute onset like "thunderclap"
- >50 yo w/ new onset headaches
- wakes pt up
- "worst headache of my life"
- sudden & intense
- getting worse over time
- elevated BP
- rash or signs of infection
- vomitting
- recent head trauma
- presence of cancer, HIV or pregnancy
Goiter ✔✔CORRECT ANSWER✔✔Enlarged thyroid gland
- thyroid function may be increased, decreased or normal
- temp intolerance;
--> too cold = hypothyroidism
--> too hot = hyperthyroidism
Hypothyroidism S/S ✔✔CORRECT ANSWER✔✔signs:
- dry, coarse, cool skin, yellowish, nonpitting edema & loss of hair
- decreased systolic & increased diastolic BP
- brady & hypothermia
- impaired memory, mixed hearing loss
Symptoms:
- fatigue, lethargy
- weight gain
- swelling face, hands & legs
- constipation
Cushing Syndrome ✔✔CORRECT ANSWER✔✔Increased adrenal cortisol
production
, - Round "moon" face with red cheeks
- excessive hair growth
Nephrotic Syndrome ✔✔CORRECT ANSWER✔✔Face is edematous & pale
- Swelling around eyes
Myxedema ✔✔CORRECT ANSWER✔✔Severe hypothyroidism
- Dull & puffy face
- dry skin and course thin eyebrows
Parotid Gland Enlargement ✔✔CORRECT ANSWER✔✔May be associated w/
obesity, diabetes & cirrhosis
- swellings anterior to the ear lobes & above angles of the jaw
Acromegaly ✔✔CORRECT ANSWER✔✔Increased growth hormone
- enlargement of bone & soft tissues
- head is elongated w/ bony prominence of forehead, nose & lower jaw
- Enlarged soft tissues of nose, lips and ears
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