WebOct 25, 2024 · 9. Headache: Migraine or Vertebro-basilar insufficiency. Examination Eyes for Nystagmus. Vestibular origin: Fast component – beats towards the side of lesion; Inhibited by visual fixation; Direction of nystagmus doesn’t change with the direction of gaze; Nystagmus is fatiguable WebYear 2 Formative OSCE 2024 Station 3 - Migraine headache is the most likely cause given the patients clinical presentation of unilateral pulsating headache with preceding aura and accompanying symptoms of photophobia, nausea, and vomiting.
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WebHeadache 1. Worst HA Dizziness neck/stiffness LOC pain fever/chills trauma nausea/vomiting Visual changes Mental changes ROS/PE/Gen HEENT: Neck: ROM, JVD, carotid, LAD Lungs: cap refill Cardio: pulses Abd: listen for bruit M/s: Strength, ROM, TTP Neuro: CN I-XII, sensation, cognition, DTRs, graphesthesia, stereogenesis WebStroke/hemorrhage: Worst headache ever? Recent trauma to head? Psych: Are you feeling sad or depressed? EVERY CC: Current meds, supplements Allergies? Past Medical hx? …
WebHeadache Red Flags: Intracranial bleed: thunderclap headache, recent trauma Raised intracranial pressure: posture/Valsalva-related SOL: immunosuppression, malignancy, focal neurology, onset >50 years Meningitis: rash, fever, neck stiffness, photophobia Giant cell arteritis: visual problems, jaw claudication, scalp tenderness WebFeb 15, 2001 · An organic cause of headache is more likely in patients with human immunodeficiency virus infection, cancer or another chronic medical condition (e.g., …
WebObtains clear history of presenting complaint, establishing: Site & Onset- anterior headache getting worse over 3 months. Character & Radiation- dull/achy pain which radiates to behind the eyes. Timing - it’s usually … WebJun 29, 2024 · Remember to verbalize your examination steps so that your examiner can follow along. If you manage your time well, physical examination can be successfully d...
WebFluctuating state of consciousness; often a history of previous head injury. Hemiparesis or pupil abnormalities may be noted; neurologic abnormalities may be absent. Hepatic encephalopathy Abnormal mental status. Severe liver disease; decreased mentation, asterixis, abnormal reflexes. Often progresses to coma. Cerebellar degeneration …
WebD: How long do the headaches usually last, than 4 hrs? C: How does it feel? aching throbbing, pouring, pulsating, etc? Does it spread to other area i.e. neck (meningitis) face … low income hacksWebFibromyalgia TX - stress reduction - stretching affected muscles gently - doing exercises to improve physical conditioning - applying heat or gently massaging affected area - keeping warm - improve sleep - muscle relaxants - lidocaine injection - Lyrica Herniated Disc low income guidelines for food stampslow income health card cardWeb- progressively frequent or severe over 3 month period - sudden onset like a "thunderclap" or "worse headache of my life," with maximal intensity over several minutes (70% of patients have subarachnoid hemorrhage) - new onset after 50 years of age - aggravated or relieved by change in position (IICP) - associated with fever, night sweats, or ... low income gym membership calgaryWebHeadache hx A SOCRATESAura? Visual/auditory/sensory/speechAssociated (N+V, photo/phonophobia) Aggravating factors: light, routine activity, tiggers (chocolate, cheese, caffeine, alcohol, anxiety) Red flags: Fever, neck stiffness, rash Fits Reduced consciousness Traumatic injury Travel abroad (malaria) Scalp tenderness (TA) … low income head start programsWebPossible OSCEs. Ophthalmology. Skill Read over Practice 1 Practice 2 Practice 3 History Eye examination Fundoscopic appearances of retinal pathologies (see Geeky Medics). Dilated pupil Hx (2014) Visual fields (2015, 2016, 2024) Visual acuity exam - sudden loss of vision, (2024) Diabetic eye disease Hx and vitreous haemorrhage (2024) low income healthcare cardWeb*neurologic symptoms (headache, stiff neck, vertigo, focal numbness or weakness), other associated symptoms (GI, chest pain), exacerbating and alleviating factors; medications. Ddx: gastritis, pregnancy, gastroenteritis, acute abdomen (pancreatitis, pyelo, hepatitis, etc.) Abdominal Pain Hx jason beghe raspy voice