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Childs Health > Headache > Flashcards

Headache Flashcards

1
Q

Red flags headache

A

Weight loss

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2
Q

Headache history

A

SOCRATES - apin

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3
Q

What headache indicates raised ICP/brain tumor

A

Waking up with pain/early morning vomitting

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4
Q

How do migraines differ in children to adults

A

More non classical - migraine without aura

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5
Q

International headache society

A

more detail on headaches

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6
Q

Symptoms of migraine in children

A

Last minimum of 4 hours

Aggravated by activities

Vomitting, nausea, phono and photophobia

Throbbing

Aura sympomt 5-60minutes

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7
Q

How many attacks do headaches have to have for migraine in childfern

A

5 attacks
at least

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8
Q

What is important about miraine diagnosis

A

Diagnosis of exclusion - dont miss tumours

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9
Q

What are features of chronic tension headache?

A

Regular often frontal (6 weeks +)
Normal exam

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10
Q

What headaches is propanolol used in?

A

Migraine

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11
Q

HEADS

A

Home
Education and employment
A
D
S

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12
Q

What should not be confused for a seizure?

A

Self gratification

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13
Q

Symptoms of brain tumour

A

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

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14
Q

HEAD SMART - diagnosis of brain tumours in children

A
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15
Q

Treatment of headahce

A

Simple analgesic
Inadequate -> 5HT1 receptor eg sumatriptan

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16
Q

Which children give migraine prophylaxis to?

A

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

17
Q

Prophylaxis for migraines

A

Propanolol hydrochloride
Pizotifen
Topirimate

18
Q

Side effects of propanolol

A

Depression
Postural hypotension

19
Q

Side effects of pizotifen

A

Serotonin receptor antagonist
Side effets - drowsy, weight gaun

20
Q

How often do you monitor children if failing to thrive?

A

Daily if < 1 month
weekly 1-6 months
Fortnightly 6=12 months
Monthly from 1 year

Childs Health (82 decks)

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