Headache Flashcards
Red flags headache
Weight loss
Headache history
SOCRATES - apin
What headache indicates raised ICP/brain tumor
Waking up with pain/early morning vomitting
How do migraines differ in children to adults
More non classical - migraine without aura
International headache society
more detail on headaches
Symptoms of migraine in children
Last minimum of 4 hours
Aggravated by activities
Vomitting, nausea, phono and photophobia
Throbbing
Aura sympomt 5-60minutes
How many attacks do headaches have to have for migraine in childfern
5 attacks
at least
What is important about miraine diagnosis
Diagnosis of exclusion - dont miss tumours
What are features of chronic tension headache?
Regular often frontal (6 weeks +)
Normal exam
What headaches is propanolol used in?
Migraine
HEADS
Home
Education and employment
A
D
S
What should not be confused for a seizure?
Self gratification
Symptoms of brain tumour
Persisting/recurrent vomiting
Persistent/recurrent headaches
Balance/walking/co-ordination
Abnormal eye movements
Behaviour change
Delayed puberty
Abnormal head position
Increasing head circumference
Seizures
Blurred/double vision
HEAD SMART - diagnosis of brain tumours in children
Treatment of headahce
Simple analgesic
Inadequate -> 5HT1 receptor eg sumatriptan
Which children give migraine prophylaxis to?
suffer at least two attacks a month;
suffer an increasing frequency of headaches;
suffer significant disability despite suitable treatment for migraine attacks;
cannot take suitable treatment for migraine attacks
Prophylaxis for migraines
Propanolol hydrochloride
Pizotifen
Topirimate
Side effects of propanolol
Depression
Postural hypotension
Side effects of pizotifen
Serotonin receptor antagonist
Side effets - drowsy, weight gaun
How often do you monitor children if failing to thrive?
Daily if < 1 month
weekly 1-6 months
Fortnightly 6=12 months
Monthly from 1 year
