NR603 Week 1 Quiz Study Guide 2021

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NR603 Week 1 Quiz Study Guide  Migraine: Assessment  It is important that the patient characterize the headache by describing the duration, quality, and location of the pain.  A medicatio... n profile is essential and should include medications that have been tried in the past for headache control. If OTC medications are taken, the number used per month should be identified  A targeted physical examination is important in ruling out harmful secondary headache pathologies and confirms any information given in the history.  The examination findings in primary headache disorders are usually within normal limits.  Key aspects of the physical examination include a cardiopulmonary and complete neurologic assessment with a major focus on the following: · • Funduscopic and pupillary assessment · • Auscultation of the carotid and vertebral arteries · • Mental status examination · • Palpation of the head, neck, and temporal arteries · • Evaluation for any neck stiffness, focal weakness, sensory loss and gait · • Vital signs  Problem findings include: · Onset of headache after the age of 50 years · Asymmetry of pupillary responses · Decreased deep tendon reflexes · Headache described as “the worst ever experienced” · Personality change · Onset of a new or different headache · Onset of a headache that progressively worsens · Papilledema · Painful temporal arteries  Diagnosis · If the diagnosis is not clear or the history or physical findings are cause for concern, diagnostic studies should be used to distinguish primary headache from a secondary condition. · Blood tests are usually not indicated, may include a complete blood count (CBC) to exclude anemia or an infectious process, (ESR) or (CRP) to help exclude temporal arteritis, and thyroid function tests to identify thyroid dysfunction. · Lyme titer or rheumatoid factors may also be indicated in some situations.  Practice guidel [Show More]

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