evaluation of headache,eye pain
•Download as PPT, PDF•
6 likes•917 views
1. The document discusses the evaluation and treatment of various head, ocular and facial pain conditions. It covers taking a history, performing a physical exam including vital signs and neurological assessment, and considering neuroimaging if certain red flags are present. 2. Common headache types discussed are migraine, tension-type and cluster headaches. Migraines can present with or without aura and are characterized by pulsating pain aggravated by activity. 3. Trigeminal neuralgia, also called tic douloureux, presents as unilateral facial pain triggered by activities like chewing and is caused by vascular compression of the trigeminal nerve. Treatment involves medications or surgical decompression.
Report
Share
Report
Share
Recommended
Headache
Headaches can be primary or secondary. Primary headaches include migraines, tension headaches, and cluster headaches. Migraines are characterized by severe throbbing pain and other symptoms like nausea and sensitivity to light and sound. They are more common in females. Tension headaches are the most common type and result from muscle contraction in the head. Cluster headaches occur in distinct periods with headache free intervals in between. Secondary headaches are caused by underlying conditions like head injuries, blood vessel abnormalities, or brain issues. Proper assessment and diagnosis of the type of headache is important to provide effective treatment.
HEADACHE
This document discusses different types of headaches. It defines headache and classifies headaches as primary or secondary. The main primary headaches are tension-type headaches, migraines, and cluster headaches. Tension-type headaches are the most common and feel like constant squeezing tightness. Migraines typically affect one side of the head and cause throbbing pain. Cluster headaches cause severe, stabbing pain around the eye and last 15-180 minutes. The document outlines symptoms, causes, diagnostic tests, and treatment for each type of primary headache. Nursing management includes comprehensive assessment, non-pharmacological therapies, avoiding triggers, and educating patients.
Approach to patient with headache
This document provides an overview of the approach to evaluating patients presenting with headache. It begins by noting that headache is one of the most common reasons patients seek medical attention. It then discusses the structures in the head involved in headache pain. The document outlines criteria for differentiating between primary and secondary headaches. It provides guidance on evaluating acute headaches, including symptoms that suggest a serious underlying disorder requiring further workup. The document concludes by reviewing diagnostic criteria for migraine and discussing some examples of secondary headaches like meningitis, intracranial hemorrhage, and glaucoma.
Headache
This document provides an overview of headaches including migraine and tension headaches. It begins by defining headaches as pain in the head or neck region that originates from tissues surrounding the skull or brain. Headaches are then classified as either primary, which are benign and recurrent, or secondary, caused by underlying disease. Migraine is described as the most common primary headache, characterized by moderate to severe pulsating pain that worsens with activity and is often accompanied by nausea, sensitivity to light and sound. Diagnostic criteria for migraine with and without aura are outlined. Tension headaches are also common and involve mild to moderate pressing or tightening pain. Secondary headaches require further evaluation to identify their underlying cause.
Headache
A short presentation about the emergent and common primary and secondary types of headache with cases study for undergraduate medical students.
Headache
The document discusses headaches, including:
- Headaches affect 75% of the population per year, with daily headaches affecting 4% and migraine alone accounting for 20 million lost work/school days.
- Headaches are classified as primary (migraine, tension-type, cluster) or secondary (caused by other conditions). Migraine is characterized by pulsatile pain lasting 4-72 hours with possible nausea and sensitivity to light/sound.
- Evaluation involves history and exam to identify concerning signs requiring further investigation or treatment of underlying causes. Diagnosis and management depends on headache type.
Headaches presentation at www.eyenirvaan.com
This document discusses different types of headaches, including their classification, causes, characteristics, and pathophysiology. It covers primary headaches like tension, migraine, and cluster headaches as well as secondary headaches that can result from conditions like head injuries, infections, raised intracranial pressure, and eye diseases. Management involves treating the underlying cause, keeping a headache diary, and referring patients to their GP or an emergency department depending on the severity and suspected etiology of the headache.
Headache
Headache is one of the most common human complaints and is defined as pain located in the head above the eyes or ears, back of the head, or upper neck. There are several subtypes of primary headaches including migraine, which is characterized by periodic attacks of severe headache, and tension headache, which tends to be more chronic than severe. Headaches are assessed through detailed history and physical exam, and diagnostic exams like CT scans, MRIs, and EMGs may be used. Headaches can be caused by organic factors, stress, medication overuse, and toxic substance exposure.
Recommended
Headache
Headaches can be primary or secondary. Primary headaches include migraines, tension headaches, and cluster headaches. Migraines are characterized by severe throbbing pain and other symptoms like nausea and sensitivity to light and sound. They are more common in females. Tension headaches are the most common type and result from muscle contraction in the head. Cluster headaches occur in distinct periods with headache free intervals in between. Secondary headaches are caused by underlying conditions like head injuries, blood vessel abnormalities, or brain issues. Proper assessment and diagnosis of the type of headache is important to provide effective treatment.
HEADACHE
This document discusses different types of headaches. It defines headache and classifies headaches as primary or secondary. The main primary headaches are tension-type headaches, migraines, and cluster headaches. Tension-type headaches are the most common and feel like constant squeezing tightness. Migraines typically affect one side of the head and cause throbbing pain. Cluster headaches cause severe, stabbing pain around the eye and last 15-180 minutes. The document outlines symptoms, causes, diagnostic tests, and treatment for each type of primary headache. Nursing management includes comprehensive assessment, non-pharmacological therapies, avoiding triggers, and educating patients.
Approach to patient with headache
This document provides an overview of the approach to evaluating patients presenting with headache. It begins by noting that headache is one of the most common reasons patients seek medical attention. It then discusses the structures in the head involved in headache pain. The document outlines criteria for differentiating between primary and secondary headaches. It provides guidance on evaluating acute headaches, including symptoms that suggest a serious underlying disorder requiring further workup. The document concludes by reviewing diagnostic criteria for migraine and discussing some examples of secondary headaches like meningitis, intracranial hemorrhage, and glaucoma.
Headache
This document provides an overview of headaches including migraine and tension headaches. It begins by defining headaches as pain in the head or neck region that originates from tissues surrounding the skull or brain. Headaches are then classified as either primary, which are benign and recurrent, or secondary, caused by underlying disease. Migraine is described as the most common primary headache, characterized by moderate to severe pulsating pain that worsens with activity and is often accompanied by nausea, sensitivity to light and sound. Diagnostic criteria for migraine with and without aura are outlined. Tension headaches are also common and involve mild to moderate pressing or tightening pain. Secondary headaches require further evaluation to identify their underlying cause.
Headache
A short presentation about the emergent and common primary and secondary types of headache with cases study for undergraduate medical students.
Headache
The document discusses headaches, including:
- Headaches affect 75% of the population per year, with daily headaches affecting 4% and migraine alone accounting for 20 million lost work/school days.
- Headaches are classified as primary (migraine, tension-type, cluster) or secondary (caused by other conditions). Migraine is characterized by pulsatile pain lasting 4-72 hours with possible nausea and sensitivity to light/sound.
- Evaluation involves history and exam to identify concerning signs requiring further investigation or treatment of underlying causes. Diagnosis and management depends on headache type.
Headaches presentation at www.eyenirvaan.com
This document discusses different types of headaches, including their classification, causes, characteristics, and pathophysiology. It covers primary headaches like tension, migraine, and cluster headaches as well as secondary headaches that can result from conditions like head injuries, infections, raised intracranial pressure, and eye diseases. Management involves treating the underlying cause, keeping a headache diary, and referring patients to their GP or an emergency department depending on the severity and suspected etiology of the headache.
Headache
Headache is one of the most common human complaints and is defined as pain located in the head above the eyes or ears, back of the head, or upper neck. There are several subtypes of primary headaches including migraine, which is characterized by periodic attacks of severe headache, and tension headache, which tends to be more chronic than severe. Headaches are assessed through detailed history and physical exam, and diagnostic exams like CT scans, MRIs, and EMGs may be used. Headaches can be caused by organic factors, stress, medication overuse, and toxic substance exposure.
Symptom analysis - HEADACHE
This document provides an overview of headache symptoms, classification, and management. It discusses the main types of primary headaches like migraine and tension-type headaches. Secondary headaches are attributed to underlying causes like head trauma, vascular disorders, or substance withdrawal. A headache history and examination can help differentiate primary from secondary headaches. Investigations may include imaging or lumbar puncture. Treatment involves acute medications like triptans for migraines or prophylactic drugs. Factors like chronicity and medication overuse are important to consider in management.
Neurological emergencies nc
The document provides information on neurologic emergencies and the nervous system. It discusses the anatomy of the nervous system including the central nervous system which is responsible for thought, perception, and autonomic functions, and the peripheral nervous system which transmits commands from the brain and receives feedback. It then covers specific topics like the diencephalon, brainstem, hypothalamus, lobes of the brain, neurons, neurotransmitters, strokes, transient ischemic attacks, coma, seizures, syncope, headaches, and different types of dementia.
HEADACHE - CLASSIFICATION
The document outlines the classification of headaches according to the International Headache Society. It discusses the primary and secondary headaches, listing the specific types under each category. For the primary headaches, it describes the characteristics of migraine, tension-type headache, and cluster headaches. It also discusses the symptoms, locations, intensities, modes of onset and durations of different headache types to help with diagnosis. The document provides details on pain-sensitive and insensitive cranial structures and the pathways involved in headache pain. It explains the concept of referred pain from structures innervated by the trigeminal, cervical and other cranial nerves.
Headache
This document provides information on evaluating and managing different types of headaches. It discusses taking a thorough history including red flags. Red flags for headaches include new onset headaches, worsening headaches, headaches associated with seizures, meningismus, or neurological deficits. It also summarizes migraine headaches, including diagnostic criteria, triggers, and acute and preventive treatment options. Additional headache types covered include tension headaches, cluster headaches, trigeminal neuralgia, glaucoma, medication overuse headaches, increased intracranial pressure, and acute sinusitis.
Headache
This document discusses approaches to headache diagnosis and treatment. It defines different types of primary headaches like tension, migraine and cluster headaches. It also covers secondary headaches that can be caused by underlying conditions. The evaluation involves a thorough history, physical exam, and diagnostic tests depending on risk factors. Treatment differs based on whether the headache is primary or secondary, with the goal of identifying any serious underlying causes for secondary headaches.
Ophthalmic Causes Of Headache
Talk on Ophthalmic causes of head ache.
Dr Ashish Mahobia M.S.,F.R.F.,F.N.B.
Consultant Eye surgeon and Vitreo retinal specialist
Sai baba Eye hospital & retina centre.,Near chhoti line ,Fafadih , Raipur , Chattisgarh,India.PIN 492001 .Phone 0771 - 4037979 ,4025063,Mobile:+91-9329117979
Approach to headache
This document provides an overview of Dr. Faisal Al Hadad's approach to evaluating and diagnosing headaches. It begins with definitions of headache and classifications of primary versus secondary headaches. It then discusses taking a thorough history, including onset, location, severity of pain, concurrent conditions, medications, and recent trauma. The physical exam focuses on identifying secondary causes, and red flags requiring further investigation are outlined. Diagnostic criteria for common primary headaches like migraines and cluster headaches are provided. Recommendations are given for imaging, lumbar puncture, and indications for neurology referral. The goal is to distinguish primary from secondary headaches and accurately diagnose the underlying condition.
Neuropsychiatric aspects of headache
a ppt , describing classification of headache, etiology,pathology and clinical manifestations, neuro psychiatric aspects ,investigation and management
Approach to a patient with headache
This document provides an overview of the approach to evaluating a patient presenting with headache. It discusses classifying headaches as primary or secondary and identifying red flags that suggest an underlying condition. The evaluation involves taking a thorough history including description of pain, associated symptoms, aggravating/relieving factors, medications, and performing a neurological exam to identify potential causes and guide further investigation or treatment.
Neurology - history taking
This document contains a neurological history and examination for a patient named Simon Mung. It includes sections on the patient's overview, history of present illness of dizziness and headaches, past medical history, family history, and social history. For the neurological exam, it lists questions to ask about the patient's headaches, including duration, location, character, aggravating/relieving factors. It also lists differential diagnoses to consider for acute conditions like meningitis, subarachnoid hemorrhage, and seizures. Questions are provided to evaluate symptoms before, during, and after suspected seizures.
Induction teaching head injury & headache
This document outlines pathways for managing head injuries and headaches in the emergency department. It discusses indications for CT scanning in head injuries and criteria for admission versus discharge. Red flags are provided for various headache presentations that may indicate serious underlying causes like stroke, meningitis or brain tumors. Guidelines are given for assessing children with headaches and evaluating HIV-positive patients. The importance of thorough history taking, physical exams, following proper protocols, consulting seniors as needed and considering social factors is emphasized for safely managing these patients.
Headache; A Clinical Approach
This document provides guidance on evaluating and managing headaches. It emphasizes the importance of a thorough history and examination to properly analyze the headache and guide management. The history should follow the SOCRATES framework and look for red flags. Examination includes mental status, cranial nerves, and looking for triggers of migraine or tension headaches. Common headache types like migraine and tension headaches are described. Migraine prophylaxis includes beta-blockers, antiepileptics, and antidepressants. Tension headaches are often treated with aspirin, paracetamol, or amitriptyline. Cluster headaches respond to sumatriptan or verapamil. A structured approach is key to diagnosing the headache type and choosing appropriate treatment
Neurological history taking
The document provides guidance on neurological history taking. It outlines the necessary prerequisites, proforma, goals, and descriptions for evaluating common neurological presentations such as headache, visual disturbances, loss of consciousness, seizures, speech and motor disorders, sensory changes, and alterations in mental state. Key areas of history include onset, duration, frequency and characteristics of symptoms, as well as family, personal, medical and medication histories. A thorough neurological examination aims to localize lesions in the nervous system and determine the nature of any pathology.
Epilepsy
This document provides information about epilepsy and nervous system diseases. It discusses the types of seizures that can occur as part of epilepsy, including tonic-clonic, tonic, clonic, myoclonic, absence and atonic seizures. It also describes the post-ictal state and psychosocial impacts of epilepsy. The causes of epilepsy include genetic and acquired factors like tumors, strokes and head trauma. Diagnosis involves tests like EEG, CT scan and MRI, while treatment options are anticonvulsant drugs, surgery, special diets and alternative therapies.
Migraine and tension headache
This document discusses approaches to evaluating and diagnosing different types of headaches. It provides guidance on taking a thorough headache history, including questions about timing, characteristics, potential triggers and aggravating/relieving factors. Common headache types like migraine and tension headache are described. The document also outlines acute and preventive treatment strategies for migraine and tension headache, emphasizing the importance of empathy, shared decision making and monitoring response to treatment.
Organic Mental Disorders
This is a ppt on Organic mental disorders. I have got the material from standard textbooks. The diagnostic classification mentioned are from ICD.
Parkinsons, stroke
Parkinson's disease is a progressive nervous system disorder that affects movement. Symptoms start gradually and include tremors, slowed movement, rigid muscles and impaired posture and balance. Risk factors include age, heredity, sex, and environmental toxins. Complications involve cognitive and emotional changes. The disease results from cell death in the basal ganglia and presence of Lewy bodies. Diagnosis involves CT/MRI scans and treatment includes levodopa and dopamine agonists.
Visual hallucinations: Differential diagnosis & treatment
Postgraduate seminar
Date: 2 August 2018
Venue: Meeting Room, Dept of Psychiatry, School of Medical Sciences, USM
Delirium
This document provides an overview of delirium, including its definition, history, epidemiology, predisposing factors, etiology, pathophysiology, and management. Delirium is characterized by an acute decline in consciousness and cognition, particularly impaired attention. It has been described since Hippocrates' time. It commonly occurs in elderly hospitalized patients, with prevalence rates as high as 80% in intensive care units. Predisposing factors include older age, dementia, sensory impairment, and medical comorbidities. Delirium has many potential causes including infections, medications, metabolic disturbances, and neurological disorders. The pathophysiology is complex and likely involves imbalances in several neurotransmitter systems such as acetylcholine, dopamine
Organic brain syndrome
This document provides information on organic brain syndrome, including dementia and delirium. It defines organic brain syndrome as brain dysfunction caused by pathology inside or outside the brain. Dementia is described as the acquired impairment of cognitive functions such as memory and orientation, while delirium is an acute impairment of consciousness and cognition. The document discusses the epidemiology, risk factors, pathologies, clinical features, investigations, and management of various types of organic brain syndrome including Alzheimer's disease and vascular dementia.
Headache
This document summarizes different types of headaches:
- Tension headaches are the most common and cause dull, tight pressure that worsens through the day. Treatment includes amitriptyline, physiotherapy, and reassurance.
- Migraines disproportionately affect women and can cause severe throbbing pain with aura, photophobia, and vomiting. Treatment includes avoiding triggers and using triptans or prophylaxis.
- Medication overuse headaches result from overusing compounds like codeine or triptans more than 10-15 days per month and require medication withdrawal.
- Cluster headaches cause brief but severe unilateral pain and autonomic symptoms in periodic episodes. Treatment includes sumatriptan injections or
chronic daily headache
This document discusses chronic daily headache (CDH), defined as a headache occurring on 15 or more days per month for more than 3 months. It describes the classification of primary and secondary CDH according to the International Headache Society. Primary CDH includes chronic migraine, chronic tension-type headache, new daily persistent headache, and hemicrania continua. Secondary CDH is caused by underlying head/neck issues, vascular disorders, infections, or psychiatric disorders. Risk factors, pathophysiology, treatment approaches including medication overuse management, and lifestyle modifications are summarized.
More Related Content
What's hot
Symptom analysis - HEADACHE
This document provides an overview of headache symptoms, classification, and management. It discusses the main types of primary headaches like migraine and tension-type headaches. Secondary headaches are attributed to underlying causes like head trauma, vascular disorders, or substance withdrawal. A headache history and examination can help differentiate primary from secondary headaches. Investigations may include imaging or lumbar puncture. Treatment involves acute medications like triptans for migraines or prophylactic drugs. Factors like chronicity and medication overuse are important to consider in management.
Neurological emergencies nc
The document provides information on neurologic emergencies and the nervous system. It discusses the anatomy of the nervous system including the central nervous system which is responsible for thought, perception, and autonomic functions, and the peripheral nervous system which transmits commands from the brain and receives feedback. It then covers specific topics like the diencephalon, brainstem, hypothalamus, lobes of the brain, neurons, neurotransmitters, strokes, transient ischemic attacks, coma, seizures, syncope, headaches, and different types of dementia.
HEADACHE - CLASSIFICATION
The document outlines the classification of headaches according to the International Headache Society. It discusses the primary and secondary headaches, listing the specific types under each category. For the primary headaches, it describes the characteristics of migraine, tension-type headache, and cluster headaches. It also discusses the symptoms, locations, intensities, modes of onset and durations of different headache types to help with diagnosis. The document provides details on pain-sensitive and insensitive cranial structures and the pathways involved in headache pain. It explains the concept of referred pain from structures innervated by the trigeminal, cervical and other cranial nerves.
Headache
This document provides information on evaluating and managing different types of headaches. It discusses taking a thorough history including red flags. Red flags for headaches include new onset headaches, worsening headaches, headaches associated with seizures, meningismus, or neurological deficits. It also summarizes migraine headaches, including diagnostic criteria, triggers, and acute and preventive treatment options. Additional headache types covered include tension headaches, cluster headaches, trigeminal neuralgia, glaucoma, medication overuse headaches, increased intracranial pressure, and acute sinusitis.
Headache
This document discusses approaches to headache diagnosis and treatment. It defines different types of primary headaches like tension, migraine and cluster headaches. It also covers secondary headaches that can be caused by underlying conditions. The evaluation involves a thorough history, physical exam, and diagnostic tests depending on risk factors. Treatment differs based on whether the headache is primary or secondary, with the goal of identifying any serious underlying causes for secondary headaches.
Ophthalmic Causes Of Headache
Talk on Ophthalmic causes of head ache.
Dr Ashish Mahobia M.S.,F.R.F.,F.N.B.
Consultant Eye surgeon and Vitreo retinal specialist
Sai baba Eye hospital & retina centre.,Near chhoti line ,Fafadih , Raipur , Chattisgarh,India.PIN 492001 .Phone 0771 - 4037979 ,4025063,Mobile:+91-9329117979
Approach to headache
This document provides an overview of Dr. Faisal Al Hadad's approach to evaluating and diagnosing headaches. It begins with definitions of headache and classifications of primary versus secondary headaches. It then discusses taking a thorough history, including onset, location, severity of pain, concurrent conditions, medications, and recent trauma. The physical exam focuses on identifying secondary causes, and red flags requiring further investigation are outlined. Diagnostic criteria for common primary headaches like migraines and cluster headaches are provided. Recommendations are given for imaging, lumbar puncture, and indications for neurology referral. The goal is to distinguish primary from secondary headaches and accurately diagnose the underlying condition.
Neuropsychiatric aspects of headache
a ppt , describing classification of headache, etiology,pathology and clinical manifestations, neuro psychiatric aspects ,investigation and management
Approach to a patient with headache
This document provides an overview of the approach to evaluating a patient presenting with headache. It discusses classifying headaches as primary or secondary and identifying red flags that suggest an underlying condition. The evaluation involves taking a thorough history including description of pain, associated symptoms, aggravating/relieving factors, medications, and performing a neurological exam to identify potential causes and guide further investigation or treatment.
Neurology - history taking
This document contains a neurological history and examination for a patient named Simon Mung. It includes sections on the patient's overview, history of present illness of dizziness and headaches, past medical history, family history, and social history. For the neurological exam, it lists questions to ask about the patient's headaches, including duration, location, character, aggravating/relieving factors. It also lists differential diagnoses to consider for acute conditions like meningitis, subarachnoid hemorrhage, and seizures. Questions are provided to evaluate symptoms before, during, and after suspected seizures.
Induction teaching head injury & headache
This document outlines pathways for managing head injuries and headaches in the emergency department. It discusses indications for CT scanning in head injuries and criteria for admission versus discharge. Red flags are provided for various headache presentations that may indicate serious underlying causes like stroke, meningitis or brain tumors. Guidelines are given for assessing children with headaches and evaluating HIV-positive patients. The importance of thorough history taking, physical exams, following proper protocols, consulting seniors as needed and considering social factors is emphasized for safely managing these patients.
Headache; A Clinical Approach
This document provides guidance on evaluating and managing headaches. It emphasizes the importance of a thorough history and examination to properly analyze the headache and guide management. The history should follow the SOCRATES framework and look for red flags. Examination includes mental status, cranial nerves, and looking for triggers of migraine or tension headaches. Common headache types like migraine and tension headaches are described. Migraine prophylaxis includes beta-blockers, antiepileptics, and antidepressants. Tension headaches are often treated with aspirin, paracetamol, or amitriptyline. Cluster headaches respond to sumatriptan or verapamil. A structured approach is key to diagnosing the headache type and choosing appropriate treatment
Neurological history taking
The document provides guidance on neurological history taking. It outlines the necessary prerequisites, proforma, goals, and descriptions for evaluating common neurological presentations such as headache, visual disturbances, loss of consciousness, seizures, speech and motor disorders, sensory changes, and alterations in mental state. Key areas of history include onset, duration, frequency and characteristics of symptoms, as well as family, personal, medical and medication histories. A thorough neurological examination aims to localize lesions in the nervous system and determine the nature of any pathology.
Epilepsy
This document provides information about epilepsy and nervous system diseases. It discusses the types of seizures that can occur as part of epilepsy, including tonic-clonic, tonic, clonic, myoclonic, absence and atonic seizures. It also describes the post-ictal state and psychosocial impacts of epilepsy. The causes of epilepsy include genetic and acquired factors like tumors, strokes and head trauma. Diagnosis involves tests like EEG, CT scan and MRI, while treatment options are anticonvulsant drugs, surgery, special diets and alternative therapies.
Migraine and tension headache
This document discusses approaches to evaluating and diagnosing different types of headaches. It provides guidance on taking a thorough headache history, including questions about timing, characteristics, potential triggers and aggravating/relieving factors. Common headache types like migraine and tension headache are described. The document also outlines acute and preventive treatment strategies for migraine and tension headache, emphasizing the importance of empathy, shared decision making and monitoring response to treatment.
Organic Mental Disorders
This is a ppt on Organic mental disorders. I have got the material from standard textbooks. The diagnostic classification mentioned are from ICD.
Parkinsons, stroke
Parkinson's disease is a progressive nervous system disorder that affects movement. Symptoms start gradually and include tremors, slowed movement, rigid muscles and impaired posture and balance. Risk factors include age, heredity, sex, and environmental toxins. Complications involve cognitive and emotional changes. The disease results from cell death in the basal ganglia and presence of Lewy bodies. Diagnosis involves CT/MRI scans and treatment includes levodopa and dopamine agonists.
Visual hallucinations: Differential diagnosis & treatment
Postgraduate seminar
Date: 2 August 2018
Venue: Meeting Room, Dept of Psychiatry, School of Medical Sciences, USM
Delirium
This document provides an overview of delirium, including its definition, history, epidemiology, predisposing factors, etiology, pathophysiology, and management. Delirium is characterized by an acute decline in consciousness and cognition, particularly impaired attention. It has been described since Hippocrates' time. It commonly occurs in elderly hospitalized patients, with prevalence rates as high as 80% in intensive care units. Predisposing factors include older age, dementia, sensory impairment, and medical comorbidities. Delirium has many potential causes including infections, medications, metabolic disturbances, and neurological disorders. The pathophysiology is complex and likely involves imbalances in several neurotransmitter systems such as acetylcholine, dopamine
Organic brain syndrome
This document provides information on organic brain syndrome, including dementia and delirium. It defines organic brain syndrome as brain dysfunction caused by pathology inside or outside the brain. Dementia is described as the acquired impairment of cognitive functions such as memory and orientation, while delirium is an acute impairment of consciousness and cognition. The document discusses the epidemiology, risk factors, pathologies, clinical features, investigations, and management of various types of organic brain syndrome including Alzheimer's disease and vascular dementia.
What's hot (20)
Visual hallucinations: Differential diagnosis & treatment
Visual hallucinations: Differential diagnosis & treatment
Viewers also liked
Headache
This document summarizes different types of headaches:
- Tension headaches are the most common and cause dull, tight pressure that worsens through the day. Treatment includes amitriptyline, physiotherapy, and reassurance.
- Migraines disproportionately affect women and can cause severe throbbing pain with aura, photophobia, and vomiting. Treatment includes avoiding triggers and using triptans or prophylaxis.
- Medication overuse headaches result from overusing compounds like codeine or triptans more than 10-15 days per month and require medication withdrawal.
- Cluster headaches cause brief but severe unilateral pain and autonomic symptoms in periodic episodes. Treatment includes sumatriptan injections or
chronic daily headache
This document discusses chronic daily headache (CDH), defined as a headache occurring on 15 or more days per month for more than 3 months. It describes the classification of primary and secondary CDH according to the International Headache Society. Primary CDH includes chronic migraine, chronic tension-type headache, new daily persistent headache, and hemicrania continua. Secondary CDH is caused by underlying head/neck issues, vascular disorders, infections, or psychiatric disorders. Risk factors, pathophysiology, treatment approaches including medication overuse management, and lifestyle modifications are summarized.
Approach to headache
This document provides an overview of approaches to evaluating and treating different types of headaches. It discusses evaluating patients for primary headaches like migraines and cluster headaches versus secondary headaches that could indicate an underlying condition. The assessment involves taking a thorough history and performing a neurological exam to identify concerning symptoms. Red flags that warrant further investigation include new severe headaches or headaches in older patients. Imaging and lumbar puncture may be used to rule out conditions like hemorrhage or infection. Treatment differs based on the headache type but may include abortive medications, prophylaxis, oxygen for cluster headaches, and steroids.
Headache, types, etiology, history taking and management
This document provides an overview of headaches, including their history, classification, causes, pathophysiology and management. It begins with definitions of headaches and discusses their epidemiology and economic impact. The document then covers the classification of primary and secondary headaches according to the International Headache Society. It describes some major headache types like migraines and tension headaches. Finally, it discusses approaches to diagnosing and managing different headache conditions.
Approach to headache
Headache is a common reason patients seek medical attention and can be primary or secondary. Primary headaches include tension-type headaches, which cause bilateral tight band-like pain, and migraines, which often cause severe one-sided throbbing pain accompanied by sensitivity to light, sound, and nausea. Migraines are thought to involve neurovascular and serotonergic mechanisms. Cluster headaches are rare but cause excruciating unilateral orbital or temporal pain and may be associated with autonomic symptoms. Treatment involves acute abortive medications as well as preventive medications depending on headache type and frequency. Secondary headaches require evaluation for underlying causes such as infection, trauma, or vascular abnormalities.
Headache ppt
1. Migraines can be classified as either primary or secondary headaches. Primary migraines include migraine without aura, migraine with aura, and tension-type headaches. Secondary migraines are caused by underlying structural or metabolic abnormalities.
2. Migraines can originate from extracranial or intracranial pain-sensitive structures. Common extracranial structures include the sinuses, eyes, ears, teeth, and blood vessels. Intracranial structures include arteries, dural veins and sinuses, and the meninges.
3. Migraines are treated either acutely to stop an attack or preventively to reduce frequency and severity. Acute treatments aim to rapidly relieve pain and associated
Viewers also liked (6)
Headache, types, etiology, history taking and management
Headache, types, etiology, history taking and management
Similar to evaluation of headache,eye pain
headache in children.pptx
This document discusses different types of headaches including primary and secondary headaches. It describes the temporal patterns of headaches as acute, recurrent-episodic, chronic-progressive, and chronic-nonprogressive. The most common primary headaches are tension-type headaches and migraine headaches. Tension-type headaches are mild and lack severe symptoms while migraine headaches involve moderate to severe pain with associated symptoms like nausea and sensitivity to light and sound. Diagnostic testing is generally not needed but may include neuroimaging or lumbar puncture in some cases.
Headache diagnosis and treatment
She was advised lifestyle modifications like regular meals, exercise,
yoga. She was given Virechana karma followed by Shirodhara with Dashamula
Kashaya. Her symptoms reduced significantly. She was advised to continue
prophylactic treatment.
Headache : Causes and management
Headache is a common pain condition that has many potential causes. This document discusses the classification, pathophysiology, and management of various headache types. Primary headaches like migraines arise from the disorder itself, while secondary headaches are caused by other conditions. Migraines are the most common primary headache and present with throbbing pain that can be unilateral or bilateral, along with nausea, photophobia, and phonophobia. Cluster headaches are less common but more severe, occurring in clusters with unilateral eye and nasal pain. Tension headaches involve diffuse band-like pain worsened by touch. Treatment depends on the headache type but may include analgesics, triptans, oxygen therapy, or preventive medications.
Altered Mental Status
This document discusses altered mental status and provides information on understanding consciousness, conducting an examination of a patient with impaired consciousness, generating a differential diagnosis, and considering various etiologies that can cause altered mental status including focal brain lesions, diffuse brain injuries, infections, toxicities, and metabolic derangements. Three clinical cases are presented and specific conditions such as hypoxia, hypoglycemia, and hepatic encephalopathy are discussed in further detail.
Headaches
This document provides information about headaches, including their causes, types, and diagnostic process. It begins by listing potential sources of headaches, such as arteries/veins, meninges, sinuses, eyes, and teeth. It then describes the main types of primary headaches like migraines and tension headaches, as well as secondary headaches caused by conditions such as raised intracranial pressure. The diagnostic questions to ask patients are outlined. Details are provided on specific headache disorders like migraines, cluster headaches, and those related to vascular or non-vascular intracranial issues. The International Classification of Headache Disorders is also summarized.
Headache and Ophthalmology
This document provides guidance on evaluating and approaching a case of headache presenting in an ophthalmology office. It begins by outlining the importance of headaches and various potential causes. It then discusses conducting a visual acuity check, medical history, and eye examination including tonometry and fundoscopy. Key points are made about differentiating primary from secondary headaches and evaluating for conditions like migraines, tension headaches, refractive errors, hypertension, and more. The document emphasizes the need to thoroughly evaluate for potential neurological or systemic issues causing secondary headaches.
Central Vestibular Disorders
This document provides an overview of central vestibular disorders. It discusses how the vestibular system senses head motion and distributes signals to control eye movements, posture, and balance. Central vestibular disorders can cause pathological sensations of self-motion and conflicts between visual and vestibular inputs. Common causes include vascular issues like strokes, inflammation, tumors, inherited conditions, and migraines. Central vestigular disorders are challenging to diagnose but it is important to differentiate them from peripheral disorders due to their potential medical urgency and risk of long-term neurological effects.
Vertigo.pptx dr. riffar ansari civil hospital
This document discusses the approach to evaluating and treating vertigo. It defines vertigo as a sense of spinning or motion that can be physiological or pathological due to vestibular dysfunction. The causes of vertigo can be peripheral disorders affecting the inner ear or labyrinths, or central vestibular pathway disruptions. A history and neurological exam can help distinguish between peripheral and central causes. Treatment options include pharmacologic therapies like antihistamines, benzodiazepines, and anticholinergics for short-term control, as well as physical therapy maneuvers and vestibular rehabilitation.
Approach to a patient with headache_ SBoro
This document provides an overview of the approach to evaluating and managing a patient presenting with headache. It begins by introducing headache as a common neurological problem and outlines pain-sensitive and pain-insensitive structures in the head. It then classifies common headache types such as migraines, tension-type headaches, and trigeminal autonomic cephalgias. The document details the pathogenesis, triggers, phases, and treatment of migraine headaches. It also discusses red flags, evaluation through history, physical exam, and investigations, and management of primary and secondary headache disorders. The take-home message is that a thorough history is most important for diagnosis and neuroimaging is not always needed, with judicious use of investigations.
A Practical Approach to Assesment of Dizzy Patient
This document provides a summary of approaches to assessing dizzy patients. It describes classifying dizziness by "flavor" such as vertigo or disequilibrium. It outlines assessing the trajectory of symptoms over time and considering medication side effects. For acute vertigo, a diagnostic matrix is provided to classify it as BPPV, Meniere's disease, vestibular neuritis or labyrinthitis based on persistence and hearing loss. Conditions not fitting the matrix include migraine-associated dizziness, progressive disequilibrium of aging, and cervical vertigo.
Headches and facial pain
This document summarizes information about different types of headaches, including their causes, characteristics, and treatment. It discusses primary headaches like tension-type headaches and migraines as well as secondary headaches caused by other medical issues. Diagnostic criteria, pathophysiology, and management strategies are provided for several common headache types. The document also covers complications, atypical facial pain, and rebound headaches that can arise from medication overuse.
Headace
Headaches are among the most common reasons patients seek medical attention. They can be primary, caused by conditions like migraines and tension-type headaches, or secondary, caused by underlying organic diseases. The International Headache Society classifies primary headaches into categories like migraines, tension-type, and cluster headaches. Secondary headaches have identifiable causes such as head trauma, vascular disorders, or brain tumors. Treatment involves managing symptoms for primary headaches or treating the underlying cause for secondary headaches.
Headache
The document discusses various types of headaches including their causes, symptoms, diagnosis and treatment. It provides details on migraines including pathophysiology, clinical features and management. Several secondary headaches are also outlined such as meningitis, intracranial hemorrhage, brain tumors and temporal arteritis. Diagnosis involves a neurological exam and imaging studies if needed. Treatment differs between acute attacks and prevention, and includes medications, lifestyle changes and avoiding triggers.
Idiopathic intracranial hypertension
A 14-year-old girl presented with a 1-month history of headaches and 4 days of transient visual obscurations. She had a history of meningitis and oral steroid use. Idiopathic intracranial hypertension (IIH) is a disorder of unknown cause characterized by elevated intracranial pressure without a tumor. Common symptoms include headaches, vision loss, and papilledema. Treatment involves weight loss, medications like acetazolamide to reduce intracranial pressure, and CSF diversion procedures if necessary to prevent vision loss.
Cns case presentation
Mr. Y is a 40-year-old man who presented with a sudden onset throbbing right-sided headache that was 4/10 in severity, associated with blurry vision and worsened by light. On examination, he had neck tenderness but no other abnormalities. The features are consistent with a migraine without aura that was possibly triggered by sleep deprivation from caring for his infant the previous night.
Dr.avs practice pearls in diagnosis and prophylaxis of migraine
This document provides guidelines and recommendations for the diagnosis and prophylactic treatment of migraines. It begins with an overview of the International Headache Society criteria for diagnosing migraines based on the presence of head and non-headache symptoms. It then discusses taking a thorough patient history and performing a focused neurological examination to diagnose migraines and rule out secondary causes. Various migraine triggers and types are described. The document recommends candidates for migraine prevention based on monthly headache frequency and impairment. It reviews guidelines for successful prevention and duration of treatment. Potential mechanisms of preventive medications and common side effects of treatments like flunarizine, beta-blockers, and anti-epileptics are summarized. The progression of mig
How Do I Approach Headache.pptx
The document provides information on diagnosing and classifying different types of headaches. It discusses:
1) The importance of taking a thorough history and using diagnostic criteria to determine if a headache is primary or secondary in nature.
2) Common primary headache disorders like migraines, tension headaches, and cluster headaches and how to recognize the characteristics of each.
3) Red flags that could indicate an underlying medical condition causing the headache and the need for further investigation.
Dr.Shelley-How Do I Approach Headaches.pptx
Dr.Shelley- A systematic approach to the patients with headaches: When and How to Investigate Patients with Headaches
Headache
This document provides an overview of pediatric and adult headaches. It begins by classifying headaches as acute, subacute, or chronic. For pediatric headaches, it outlines the important aspects of history taking and danger signs that warrant further evaluation. It describes migraine headaches in children in detail. For adult headaches, it discusses mechanisms, classification, precipitating factors, and characteristics. It provides guidance on evaluation, management, and when to refer or admit patients with headaches.
Practice pearls diagnosis and prophylaxis of migraine
This document provides guidelines and recommendations for the diagnosis and prophylaxis of migraine. It begins with the International Headache Society criteria for diagnosing migraine which involves assessing head-related symptoms and associated non-headache symptoms. It emphasizes taking a detailed patient history including triggers and risk factors. The physical exam should include a neurological exam. It discusses differentiating migraine from other headache types like tension headaches and discusses migraine triggers. It provides recommendations for when prophylactic treatment should be considered and guidelines for successful prevention. It discusses common preventive medications and their mechanisms of action and side effects.
Similar to evaluation of headache,eye pain (20)
A Practical Approach to Assesment of Dizzy Patient
A Practical Approach to Assesment of Dizzy Patient
Dr.avs practice pearls in diagnosis and prophylaxis of migraine
Dr.avs practice pearls in diagnosis and prophylaxis of migraine
Practice pearls diagnosis and prophylaxis of migraine
Practice pearls diagnosis and prophylaxis of migraine
More from Mae William- Ganaca
Frequent blinking in children
This document discusses frequent blinking in children. It notes that normal blinking rates vary from 1 blink every 5 seconds for adults and adolescents to 1-4 blinks per minute for neonates. Frequent blinking in children can be caused by habitual tics, uncorrected refractive errors, anterior segment diseases, psychogenic factors, or central nervous system diseases. Two studies found that the most common causes were anterior segment abnormalities, habitual tics, and uncorrected refractive errors. The document concludes that most cases of frequent blinking in children are benign and self-limiting, and can be addressed through careful examination, treatment if needed, and reassurance.
geometrical Optics
1. The document discusses principles of geometrical optics including pinhole imaging, mirrors, lenses, and light propagation.
2. Key terms are defined such as object and image characteristics, magnification, and refractive index.
3. Principles of reflection, refraction, and dispersion are explained according to Snell's law and the refractive indices of common optical materials.
Gluacoma clinical evaluation
This document discusses various aspects of gonioscopy and glaucoma evaluation including:
1. Gonioscopy techniques like Goldmann and indentation gonioscopy to examine the anterior chamber angle structures.
2. Findings on gonioscopy like iris processes, pigment dispersion and signs of angle closure.
3. Methods to evaluate the optic nerve head including examination with a slit lamp and 90D lens to detect changes like cupping, notching and nerve fiber layer loss.
4. Visual field testing methods like static threshold perimetry to detect and monitor glaucomatous field defects like arcuate scotomas and analyze results based on parameters like mean deviation.
Childhood glaucoma
This document discusses childhood glaucoma, including definitions, epidemiology, genetics, pathophysiology, clinical features, diagnosis, differential diagnosis, treatment, and prognosis. It describes primary congenital glaucoma as present at birth or in the first few years of life, caused by anterior chamber angle abnormalities without systemic anomalies. Secondary infantile glaucoma is associated with other abnormalities. Childhood glaucoma can be caused by various genetic syndromes and systemic conditions and often requires surgery for treatment.
Retinal breaks
This document discusses retinal breaks and retinal detachment. Some key points:
- Retinal breaks can cause retinal detachment and occur in about 6% of the population, with retinal detachment occurring in around 0.07% of people in their lifetime.
- Common causes of retinal breaks include trauma, vitreous traction, and increasing age. Symptoms may include floaters, photopsias, and vitreous hemorrhage.
- Examination involves slit lamp biomicroscopy and sometimes B-scan ultrasound or vitrectomy. Certain lesions like retinal dialysis, horseshoe tears, and operculated tears often warrant treatment to prevent retinal detachment, while smaller lesions may not require intervention
age related macular degeneration
This case presentation summarizes the medical history and ocular examination findings of a 69-year-old Filipino woman. She has a history of hypertension, cataract surgery, and is a former smoker. Her ocular exam revealed decreased vision and color perception in both eyes consistent with age-related macular degeneration. Based on her clinical features and angiography results, she was diagnosed with non-neovascular age-related macular degeneration. Risk factors, screening, and management options for this common cause of vision loss were discussed.
More from Mae William- Ganaca (6)
Recently uploaded
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by Stamler, Verified Chapters 1 - 33, Complete Newest Version Community Health Nursing A Canadian Perspective, 5th Edition by Stamler, Verified Chapters 1 - 33, Complete Newest Version Community Health Nursing A Canadian Perspective, 5th Edition by Stamler Community Health Nursing A Canadian Perspective, 5th Edition TEST BANK by Stamler Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Pdf Chapters Download Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Pdf Download Stuvia Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Study Guide Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Ebook Download Stuvia Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Questions and Answers Quizlet Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Studocu Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Quizlet Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Pdf Chapters Download Community Health Nursing A Canadian Perspective, 5th Edition Pdf Download Course Hero Community Health Nursing A Canadian Perspective, 5th Edition Answers Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Ebook Download Course hero Community Health Nursing A Canadian Perspective, 5th Edition Questions and Answers Community Health Nursing A Canadian Perspective, 5th Edition Studocu Community Health Nursing A Canadian Perspective, 5th Edition Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Pdf Chapters Download Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Pdf Download Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Study Guide Questions and Answers Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Ebook Download Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Questions Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Studocu Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Stuvia
Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
Novas diretrizes da OMS para os cuidados perinatais de mais qualidadeProf. Marcus Renato de Carvalho
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Histololgy of Female Reproductive System.pptx
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
Role of Mukta Pishti in the Management of Hyperthyroidism
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
Basavarajeeyam - Ayurvedic heritage book of Andhra pradesh
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
Top-Vitamin-Supplement-Brands-in-India List
Swisschem Dermacare provides the Top 10 Vitamin Supplement Brands in India. To know more about us give us call at our official number
The Best Ayurvedic Antacid Tablets in India
Treat the symptoms of indigestion, heartburn and stomach reflux with the 10 Best Ayurvedic Antacid Tablets in India.
Identification and nursing management of congenital malformations .pptx
Identification and nursing management of congenital malformations .pptxMGM SCHOOL/COLLEGE OF NURSING
Identification and nursing management of congenital malformations #cALL# #gIRLS# In Dehradun ꧁❤8107221448❤꧂#cALL# #gIRLS# Service In Dehradun W...
#cALL# #gIRLS# In Dehradun ꧁❤8107221448❤꧂#cALL# #gIRLS# Service In Dehradun W...chandankumarsmartiso
#cALL# #gIRLS# In Dehradun ꧁❤8107221448❤꧂#cALL# #gIRLS# Service In Dehradun Women Seeking Service
Light House Retreats: Plant Medicine Retreat Europe
Our aim is to organise conscious gatherings and retreats for open and inquisitive minds and souls, with and without the assistance of sacred plants.
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
Dehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in Dehradun
Dehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in Dehradun
share - Lions, tigers, AI and health misinformation, oh my!.pptx
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
It includes regulation of combination products and medical devices. FDA and industry liaisons.
Best Ayurvedic medicine for Gas and Indigestion
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
Recently uploaded (20)
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...
Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptx
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptx
Role of Mukta Pishti in the Management of Hyperthyroidism
Role of Mukta Pishti in the Management of Hyperthyroidism
Basavarajeeyam - Ayurvedic heritage book of Andhra pradesh
Basavarajeeyam - Ayurvedic heritage book of Andhra pradesh
Identification and nursing management of congenital malformations .pptx
Identification and nursing management of congenital malformations .pptx
#cALL# #gIRLS# In Dehradun ꧁❤8107221448❤꧂#cALL# #gIRLS# Service In Dehradun W...
#cALL# #gIRLS# In Dehradun ꧁❤8107221448❤꧂#cALL# #gIRLS# Service In Dehradun W...
Light House Retreats: Plant Medicine Retreat Europe
Light House Retreats: Plant Medicine Retreat Europe
Ear and its clinical correlations By Dr. Rabia Inam Gandapore.pptx
Ear and its clinical correlations By Dr. Rabia Inam Gandapore.pptx
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
CHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdf
CHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdf
Dehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in Dehradun
Dehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in Dehradun
share - Lions, tigers, AI and health misinformation, oh my!.pptx
share - Lions, tigers, AI and health misinformation, oh my!.pptx
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
evaluation of headache,eye pain
- 1. THE PATIENT WITH HEAD, OCULAR, OR FACIAL PAIN
- 2. EVALUATION OF HEADACHE • HISTORY – Nature of the headache – Daily pattern of hedache – Location – Associated symptoms – Precipitating or alleviating factors – Overall pattern – Family history
- 3. • VAST MAJORITY OF PATIENTS WITH HEADACHE HAVE NORMAL VISUAL ACUITY • PE: • BP, Pulse • Meningeal signs • Symmetry of cranial nerve and motor functions
- 4. TYPES OF HEADACHE • PRIMARY – Migraine – Tension- type – Cluster • SECONDARY
- 5. NEUROIMAGING? • Sudden onset of severe headache • Unexplained change in headache pattern • Unresponsive to medical therapies • HA related to physical exertion or change in body position • New onset of headache after the age of 50 years • New headaches in immunosuppressed patients • (+) focal neurologic signs • (+) fever, neck stiffness, change in mental status, behavioral changes
- 6. MIGRAINE • Condition consisting of repetitive bouts of headache • F>M • (+) familial tendency • (+) history of motion sickness in childhood • Onset- puberty or young adulthood • Decrease after menopause
- 7. Characteristic: • unilaterality, pulsating, N/V, photophobia, aggravated by physical activities Exacerbated by: • menstruation, pregnancy, hunger, stress, certain foods and sleep deprivation
- 8. I. Migraine with aura • Classic migraine • 30% • Visual aura: begins w/ a small scotoma near fixation that gradually expands, then breaks up • < 45 minutes • Followed by HA on the contralateral side of the head • Untreated: 4 to 72 hrs
- 10. II. Migraine without aura • Common migraine • 65% • No preceding neurologic symtoms • Global • Can last hours to days
- 11. III. Migraine aura w/o Headache • Acephalgic migraine • 5% • Visual aura: • Scintillating scotoma, transient homonymous hemianopia, peripheral VF constriction, transient monocular visual loss, episodic diplopia ( vertical)
- 13. EVALUATION • Headache or aura always occur on the same side • Headache precedes the aura • Neurologic deficit, persists after aura resolves • Features of aura are atypical
- 14. Tension -type headache • Chronic • Aching • Worse at the end of day • Precipitated by stress • Associated with depression
- 15. TREATMENT • Reassurance • Avoid precipitating factors: • Chocolates, nitrates, MSG, cheese, caffeine, red wine, alcohol, nuts, shellfish • OCPs • Stress, change in sleep patterns, strong scents such as perfume, cigarette smoke and exercise
- 16. • Acute relief: dihydroergotamine, sertonergic agents, NSAIDS • * analgesic rebound headache • Prophylactic treatment: • Disrupted functions of daily life • Beta blockers, Ca channel blockers, TCA, SSRIs, sodium valproate, NSAIDS
- 17. CLUSTER HEADCHE • Men • 30’s to 40’s • Cigarette smokers • Pain localized behind 1 eye • Tearing, conjunctival injection, rhinorrhea • < 2 hrs
- 18. • Difficult to treat • Inhaled oxygen, methysergide, subcutaneous sumatriptan or dihydroergotamine • Prednisone tapered for 10- 14 days • Verapamil- prophylaxis
- 19. OCULAR AND ORBITAL CAUES OF PAIN • Refractive errors and starbismus • KS, Keratitis, AACG, intraocular inflammation • Recurrent erosion syndrome • Scleritis • Optic neuritis
- 20. PHOTOPHOBIA • Keratitis • Uveitis • Chorioretinitis • Menigeal irritation • migraine
- 21. FACIAL PAIN • Most often, pain in the eye area is a manifestation of headache • Dental disorders, sinus disease
- 22. 1. Trigeminal neuralgia • Tic douloureux • Caused by vascular compression of CN V • Demyelinating dse, posterior fossa mass lesion • Unilateral • chewing , tooth brushing, cold wind • Normal sensory function • MRI • Treatment: • gabapentin, carbamezepine, phenytoin, baclfen, clonazepam, valproic acid • Rhizotomy, decompression of CN V
- 23. 1. Trigeminal neuralgia • Tic douloureux • Caused by vascular compression of CN V • Demyelinating dse, posterior fossa mass lesion • Unilateral • chewing , tooth brushing, cold wind • Normal sensory function • MRI • Treatment: • gabapentin, carbamezepine, phenytoin, baclfen, clonazepam, valproic acid • Rhizotomy, decompression of CN V
- 24. • 2. Glossopharyngeal neuralgia • 3. Carotidynia- neck pain that radiates to ipsilateral face and ear • 4. Carotid dissection- (+) sympathetic dysfunction • 5. Temporomandibular disease
- 25. 6. HZO- • pain before vesicle eruption • Gabapentin, TCA, lidocaine patch 7. Neoplastic process 8. Mental nerve neuropathy- numb chin • Saroidosis, lymphoma, mets breast Ca
- 27. Thank you