Neupsy Key

Headaches (Cephalalgia) Evaluation General—pain affecting the head, although typically not confined to a particular nerve distribution Classification Common primary headache disorders Tension-type headache Migraine headache Cluster headache Secondary headache disorders…

Gout Evaluation General—inflammatory response to monosodium urate crystal deposition in joint(s) Clinical Acute—often begins at night with intense pain, redness, swelling, warmth, and decreased movement. Affects first metatarsophalangeal joint in…

Glaucoma, Open-angle Evaluation General—an optic neuropathy that leads to death of optic nerve tissue; decrease in peripheral vision Clinical—progressive disease of the optic nerve with an increase in intraocular pressure…

Gastroesophageal Reflux Disease Evaluation General—a common, chronic condition characterized by heartburn once or more in a month Clinical: Classic symptoms → acid regurgitation and heartburn Atypical symptoms → asthma, chest…

Foot Ailments Callus (calluses) General—thickening of the outermost layer of the skin as a result of repeated pressure/friction Clinical—pain results as the callus thickens and causes more pressure against the…

Epistaxis (Nosebleed) Evaluation General—nosebleeds occur in up to 60% of people over a lifetime; 6% require medical care. Etiology—(environmental factors, i.e., humidity, temperature, and altitude also require consideration.) Local causes…

Epilepsy Evaluation General—recurrent seizures secondary to acquired or genetic brain disorder Epidemiology—2 million in the United States have epilepsy. Diagnostic algorithm Determine whether or not the patient has seizures. Exclude…

Ear Ailments Cerumen mpaction General—Cerumen (earwax) tightly packed in the external ear canal and blocking the eardrum Clinical—partial hearing loss, sense of fullness in the ear, itching, tinnitus (ringing in…

Dyspepsia Evaluation General—“bad digestion” translated from Greek Clinical—varied symptoms → upper abdominal discomfort, early satiety, bloating, nausea, and emesis Etiology Forty percent organic—gastroduodenal ulcer (15%-25%), gastroesophageal reflux disease (GERD) (5%-15%),…

Dysmenorrhea (Menstrual Cramps) Evaluation General—crampy pelvic pain beginning just before or at the onset of menses and lasting 1 to 3 days Etiology—thought to be from prostaglandin release in menstrual…