Exam 2: Headaches

Question 1

Types

Answer 1

1. sinus (pain bhind brow or cheekbone)
2. tension (band squeezing head)
3. cluster (pain around eye)
4. migraine (long-duration > 4 hrs)

Question 2

what is aura?

Answer 2

sensation such as visual changes that signal onset of headache or seizure

Question 3

1st phase of migraine w/ aura

Answer 3

Prodromal
symptoms occur hrs to days b4 headache

depression, irritability, feeling cold, food cravings, anorexia, chng in activity level, incr. urination, diarrhea or constipation

Question 4

2nd phase of migraine w/ aura

Answer 4

Aura

lasts

Question 5

3rd phase of migraine w/ aura

Answer 5

Headache
↓ in serotonin levels

throbbing unilateral, incapacitating headache
often associated w/ photophobia
N/V, fatigue, irritability
last from 4 to 72 hrs

Question 6

4th phase of migraine w/ aura

Answer 6

Recovery
pain gradually subsides and can last up to 25 hrs

neck and scalp muscle contraction
muscle ache and localized tenderness
exhaustion and mood changes
physical exertion exacerbates headache pain
pts sleep for long time

Question 7

describe migraine w/o aura

Answer 7

throbbing dull pain
photophobia or phonophobia (light/sound sensitivity)
occurs early in morning, during stress, PMS, fluid retention

Question 8

atypical headache

Answer 8

last longer than 72 hr

Question 9

triggers

Answer 9

tyramine containing food and beverages
alcohol and chocolate
caffeine
nitrates
MSG
aspartame
yeast foods
fumes (paint, gas)