HA pearls Flashcards
How long do migraines last?
4 hrs up to 3 days
Abortive tx for Migraines
NSAIDs (try first!!)
Then, Triptans
Prevention for migraines
Propranolol
“P for prevention”
“Topamax” Topiramate
Anticonvulsant
can be used for migraine prophylaxis
Tx of Cluster HA if Oxygen cant be given in office
Prednisone (Steroid)
Common types of HA in Elderly
Temporal Arteritis (tx w Prednisone)
Trigeminal Neuralgia (tx w Carbamazepine)
Temporal Arteritis
Elderly
tender in Temporal region
Continuous, dull
Labs: Elev sed rate, CRP
Will know if its this bc Steroids will work like a charm!
SAH
get CT without contrast
to see the bleed “Crab of death”
Trigeminal Neuralgia
Seniors
Triggers: cold, URI, stimulation
Sharp, electrical “jab” lasting only seconds
Tx: Carbamazepine
Meningococcus Meningitis
Neisseria
RASH purpura