NEUROLOGICAL+EXAMINATION课件.pptVIP

NEUROLOGICAL EXAMINATION Headache 5th most common reason for OP visit Symptom! (not a disease) Most important diagnostic clue is a steady, bilateral, nonthrobbing pain that is worse in the a.m. May awaken patient Worse with VALSALVA Types of Headaches Tension Sinus Migraine Classic Common Complicated Cluster Post-traumatic Post-LP Types of Headaches Temporal Arteritis ICP Subarachnoid hemorrhage Infection Ocular Trigeminal neuralgia (Tic doloureaux) TMJ syndrome Toxic Headache History Location Unilateral ~ migraine Periorbital ~ glaucoma/uveitis Parietal/Occipital ~ tension Neck ~ meningitis