Lets discuss the highyield topics! - apollo

[ArchivalUser]

Please spare your few minutes of valuble time to help eatch other. Please post few lines about the topic from the exam point of view.

1.Headache--cluster/Migraine/Tension
2.Incontinence- overflow/Stress/Urge
3. Conjunctivitis- vira/bacterial/allergic
4. Vertigo- BPV/ Menniers/ Labyrynthitis

[ArchivalUser]

Cluster:
- red ede, lacrimation, rinorrhea, retroorbital pain, peak onset of pain 5-90 minutes.
tto> abortive 100% Oxygen, prophylactic: Lithium, prednisone, Ca-channel blockers.
- migraine. unilateral or bilateral.
classic migraine: accompanied with aura.
common migraines: no aura.
abortive treatment: Sumatriptan,
Tension headache: nuchal rigidity, stress, tto/ NSAIDS.


Incontinence:
Overflow: treatment: bethanecol( to empty the bladder).
Stress: loss of urine with cough or sneeze, but not at night, tto. kegel exercise.
urge incontinence:bladder contractions. tto. oxybutin.

[ArchivalUser]

Viral Conjunctivitis.... acute, B/L, excessive watery non purulent infective discharge,with out pain or redness.self limiting.warm compress for symptomatic relief.No antibiotics necessary

Bacterial...acute,purulent,painful,infective discharge with pain and crusting of eyelids.can Initially present one one side and spread B/L. DOC is quinolones.. Ciprofloxicin eye drops.

Allerrgic...acute, non purulent, assoc with exposure to particular drug, dust etc. DOC is anti histamines in severe cases besides wearing protective glasses.

Corrections if any...please do post them