Tension Headache- ANSWER most common and usually self-treatedTerritorial area
Migrane Headache- ANSWER - episodic
- unilateral
- prodromal onset and/ or aura
- N&V
- family history
Cluster Headache- ANSWER - Unilateral
- Retroorbital
Primary headaches- ANSWER caused by the headache itself w/ no underlying cause
- bilateral & mild to moderate intensity
- ex.) tension or migrane headaches
Secondary Headaches- ANSWER Arise from other conditions. hemorrhage, tumor.
- Look for 'red flags'
Red Flags of headaches - 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 - ANSWER Enlarged thyroid gland
- thyroid function may be increased, decreased or normal
- temp intolerance;
--> too cold = hypothyroidism
--> too hot = hyperthyroidism
Hyperthyroidism S/S - ANSWER Signs:
- warm, smooth moist skin
- increased systolic & decreased diastolic BP
- tachy or afib
- tremors & proximal muscle weakness
Symptoms:
- nervousness
- weight loss
- sweating & heat intolerance
- frequent bowel movements
- palpatations
Hypothyroidism S/S - 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 - ANSWER Increased adrenal cortisol production
Round "moon" face with red cheeks
excessive hair growth
Nephrotic Syndrome - ANSWER Face is edematous & pale
Swelling around eyes
Myxedema - ANSWER Severe hypothyroidism
Dull & puffy face
dry skin and course thin eyebrows
Parotid Gland Enlargement - ANSWER May be associated w/ obesity, diabetes &
cirrhosis
Swellings anterior to the ear lobes & above angles of the jaw
Acromegaly - ANSWER Increased growth hormone
- enlargement of bone & soft tissues
- head is elongated w/ bony prominence of forehead, nose & lower jaw
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