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Pedia > Headache > Flashcards

Headache Flashcards

1
Q

Recurrent headache with symptom free intervals

A

MIGRAINE

at least 3 of the ff (FRUANT)

family history
relief ff sleep
unilateral location
associated aura
abdominal pain
nausea and vomiting
throbbing in character
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2
Q

Indications for cranial or MRI

A

abnormal neurologic signs

behavioral changes, recent school failure, fall off in linear growth rate

headache awakens the child during sleep

migraine and seizure occur in the same episode

focal neurologic signs

cluster headache esp < 5y/o

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3
Q

Treatment of Migraine

A

avoid stimuli - stress, fatigue, anxiety

ACETAMINOPHEN or IBUPROFEN

ANTIEMETICS (Metoclopramide (IV)

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4
Q

Treatment of Status Migrainosus (persistent headache > 3 days)

A

Prochlorperazine IV

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5
Q

Prophylactic Therapy

more than 2-4 severe episodes monthly
unable to attend school regularly

A

PROPRANOLOL 10-20 mg TID > 7 days

FLUNARIZINE - 5 mg at bedtime

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6
Q

Indications for prophylactic therapy in children with migraine

A

> 2-4 episodes
unable to attend school regularly
PedMIDAS >20

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