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OMM for HA and TMJD 2024 (Dr. Moore) Exam $8.99   Add to cart

Exam (elaborations)

OMM for HA and TMJD 2024 (Dr. Moore) Exam

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OMM for HA and TMJD 2024 (Dr. Moore) Exam...

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  • October 25, 2024
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  • 2024/2025
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  • OMM for HA and TMJD 2024
  • OMM for HA and TMJD 2024
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OMM for HA and TMJD 2024 (Dr. Moore) Exam


Multifactorial nature of h/a factors include

-physical

-psychological/emotional

-familial

-ethnic

-cultural



psychosocial assessment and thorough H&P may reveal

-s/s of anxiety and depression- these heighten pain awareness

pain sensitive structures within cranium

-venous sinuses

-dura (esp at base of brain)

-arteries of pia-arachnoid and dura mater



primary h/a

-tension type

-migraines



secondary h/a

-aucte sinusitis

-brain aneurysm

-meningitis

-brain tumor h/a

,-cervicogenis h/a

-idiopathic intracranial HTN

-TMJD



what should you order if you're concerned about a brain bleed/hemorrhage?

CT without contrast



tension type h/a (TTH)

-MC

-arises from emotional, envireonmental and physical factors

-onset between 2 and 3rd decade

-most prevalent in 3rd and 4th decade

-duration= 30min-7 days



TTH diagnosed when 2 of the 4 are present *** HY KNOW

-bilateral

-pressing or tightening quality without pulsation

-mild to moderate intensity

-not worsened by routine physical activity (changes in position don't affect TTH)

"band around head"



migraine h/a

-3x more common in females, 25-55 esp

-throbbing/pulsatile

-unilateral localized pain in frontotemproral and ocular areas

-lasts 4-72 hrs

-moderate to severe pain builds over 1-2hrs, progressing posteriorly and becoming

, diffuse

-worsened by light, sounds, and movement (photophobia and phonophobia)

-n/v

-with or without aura (visual and sensory symptoms before, during or after head pain)

-focal neuro symptoms- visual disruptions, unilateral paresthesia, language
disturbances (word searching)



migraines POUND

Pulsatile

4-72 hOurs

Unilateral

Nausea or vom

Disabiling intensity



red flags in h/a history

-focal neuro symptoms (weakness, CN probs, uncoordinated, etc)

-progression in frequency and severity

-worst h/a, sudden onset thunderclap h/a (SAH)

-new onset h/a in over 50yrs old, immunocomp, or cancer pt

-h/a that awakens pt from sleep

-h/a worse with valsalva

-h/a after head trauma

-signs of systemic illness (fever, rash, stiff neck- meningitis)



red flags in a neuro exam

-focal neuro deficits--> CNS pathology

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