Term
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Definition
| Migraines, tension, cluster |
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Term
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Definition
| Process: neuronal dysfunction; Character: throbbing or aching; Location: unilateral ~70%, bifrontal or global ~30%; Onset: rapid, reaching a peak in 1-2 hours; Duration: 4-72 hrs; Exacerbation: alcohol, certain foods, tension, premenstration, noise, bright light; Palliative: quiet, dark room, sleep; Associative: nausea, vomiting, photophobia, phonophobia, visual, sensory or motor auras |
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Term
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Definition
| Process: unclear; Character: pressing or tightening pain; Location: usually bilateral, back of head and upper neck; Onset: gradual; Radiation: none; Intensity: mild to moderate; Duration: minutes to days; Exacerbation: sustained muscle tension; Palliative: massage, relaxation; Associated: photophobia, phonophobia, no nausea |
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Term
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Definition
| Process: unclear, possibly extracranial vasodilation; character: deep, continuous; location: unilateral, usually behind eye; onset: abrupt, within minutes; radiation: none; intensity: severe; Duration: up to 3 hours; Exacerbation: sensitivity to alcohol; Palliative: none; Associated: lacrimation, rhinorrhea, mioisis, ptosis, eye lid edema, conjunctival infection |
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Term
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Definition
| process: withdrawal of meds; character: variable; location: previous headache pattern; onset: variable; intensity: variable; duration: variable; Exacerbation: fever, carbon dioxide, hypoxia, withdrawal, hypoxia, withdrawal of caffiene; palliative: depends |
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Term
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Definition
| Process: strain of EOM; character: steady, aching, dull; location: around and over the eyes; onset: gradual; radiation: to occipital region; Exacerbating: prolonged use of eyes, particularly for close work; Palliative: rest of eyes; Associated: eye fatigue, redness of the conjunctiva |
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Term
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Definition
| Process: increased intraocular pressure; character: steady, aching, often severe; location: in and around one eye; onset: often rapid; intensity: variable; Duration: variable; Exacerbation: drops that dilate pupils; Associated: diminished vision, nausea, vomiting |
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Term
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Definition
| Process: mucosal inflammation or paranasal sinuses; character: aching or throbbing; location: frontal or maxillary sinuses; onset: variable; intensity: variable, consider migraine; Duration: several hours, recurring; Exacerbation: coughing, sneezing, jarring of the head; Palliative: nasal decongestants, antibiotics; Associated: local tenderness, nasal congestion, discharge, fever |
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Term
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Definition
| Process: infx or meninges; character: steady or throbbing, very severe; location: generalized; onset: fairly rapidly; duration: variable, usually days; associated: fever, stiff neck |
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Term
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Definition
| process: bleeding, intracranial aneurysm; character: "worst of my life"; location: generalized; onset: usually abrupt, severe; duration: variable, usually days; associated: nausea, vomiting, possibly loss of consciousness, neck pain; |
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Term
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Definition
| Process: pressure on vessels or nerves; character: aching, steady; location: variable; onset: variable; intensity: variable; duration: often brief; exacerbating: coughing, sneezing, sudden movements of head |
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Term
| Giant Cell (Temporal) Arteritis |
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Definition
| Process: vasculitis from cell-mediated immune response; character: throbbing, generalized, persistent; location: localized near involved artery, temporal or occipital; onset: gradual or rapid; intensity: often severe; duration: variable; exacerbation: movement of neck or shoulders; associated: tenderness of adjacent scalp, fever, fatigue, wt. loss, new headache, jaw claudication, visual loss or blindness, polymyalgia rheumatica |
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Term
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Definition
| process: unclear; character: generalized, dull, aching, constant; location: localized to injury area, variable; onset: hours to 1-2 days after injury; duration: weeks, months, years; exacerbation: mental and physical exertion, straining, stooping, emotional excitement, alcohol; palliative: rest; associated: poor concentration, problems with memory, vertigo, irritability, restlessness, fatigue |
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Term
| trigeminal neuralgia headache |
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Definition
| Process: compression of CNV; character: shocklike, stabbing, burning; location: cheek, jaws, lips, or gums, division 2 and 3> 1; onset: abrupt, paroxysmal; intensity: severe; duration: may last for months, disappear, then recur, each jab lasts for seconds but recurs; exacerbation: touching certain areas of lower face or mouth, chewing, brushing teeth; associated: exhaustion form recurrent pain |
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Term
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Definition
| benign positional, vestibular neuronitis, Meniere's dx, drug toxicity, acoustic neuroma (CN V, VII and VIII compression) |
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Term
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Definition
| conjunctivitis, subconjuntival hemorrhage, corneal injury or infection, acute iritis, glaucoma |
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Term
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Definition
| usually benign; a thin grayish white arc or circle no quite at edge of the cornea |
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Term
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Definition
| superficial grayish white opacity in the cornea, secondary to an old injury/inflammation; do not confuse with cataract |
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Term
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Definition
| triangular thickening of bulbar conjunctiva that grows across the outer surface of the cornea, usually from the nasal side |
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Term
| tonic pupil (Adie's pupil) |
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Definition
pupil is large (midriasis), regular & usually unilateral (anisocoria: un= unilaterally)
• Rxn to light reduced, near retraction slowed, accommodation → blurry vision |
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Term
| oculomotor nerve (CNIII) paralysis |
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Definition
| dilated pupil is fixed to light and near effort, ptosis of eyelid, and lateral deviation of the eye |
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Term
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Definition
damage to superior sympathetic trunk one side → ptosis, constricted pupil (miosis) & no sweat
• Neurosyphilis |
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Term
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Definition
pupils small & irregular- react to accommodation, but not light
• Localization is to midbrain – caused by neurosyphilis |
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Term
| Benign positional vertigo |
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Definition
| onset: sudden; duration: brief, few weeks recurs; Associated: nauses, vomiting, nystagmus |
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Term
| Labrynthitis (vestibular neuritis) |
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Definition
| onset: sudden; duration: hr, days, weeks, recurs; associated: nausea, vomiting, nystagmus |
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Term
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Definition
| onset: sudden; onset: hr to day, recurs; associated: hearing impaired, tinnitus, nausea, vomiting, pressure in ear |
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Term
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Definition
| onset: acute, linked to meds; duration: may be reversible; Associated: +- hearing, +- tinnitus, nausea, vomiting |
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Term
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Definition
| onset: CN VIII compression; duration: duration: variable; Associated: hearing one side, tinnitus, may involve V and VII |
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Term
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Definition
| onset: often sudden; duration: variable but rarely continuous; Associated: brain stem deficits (dysarthria, ataxia, crossed motor and sensory deficits) |
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Term
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Definition
| inward turning of lid margin, lashes may irritate conjuctiva & lower cornea (common in elderly) |
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Term
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Definition
margin of lower lid turned out exposing palpebral conjunctiva (common in elderly)
• If punctum turns out, eye may not drain properly |
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Term
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Definition
| harmless yellow triangle in bulbar conjunctiva on either side of iris – frx with aging |
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Term
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Definition
| ocular redness from inflammation of the episcleral vessels; pink and movable over the scleral surface |
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Term
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Definition
| painful, tender red infection in a gland at the margin of the eyelid |
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Term
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Definition
subacute, non-tender & usually painless nodule involving a meiboman gland
• Unlike sty, usually point inside the lid rather than on lid margin |
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Term
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Definition
| yellowish, well-circumscribed plaques that appear along the nasal portions of one or both eyelids |
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Term
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Definition
| inflammation of lacrimal sac |
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