Headache Flashcards
Treatment migraine? (5)
- Acetaminophen (paracetamol), ASA +/-caffeine (ergotamine)
- NSAIDs
- 5 - ht agonist (sumatriptan ) + / - antiemetic
- Opioids +/- snri
- high dose corticosteroids /morphine
Treatment tension headache?
Rest/relax
NSAIDs, acetaminophen
Treatment cluster headache? (4)
- Sumatriptan
- dihydroergotamine
- high flow 02
- intranasal lidocaine
Prophylaxis tension headache?
Rest/relax
Exercise
Prevention migraine headache? (3)
- Beta blockers
- tca (trypilline)
- Anticonvulsants (Topiramate)
Prevention cluster headache? (3)
- Lithium carbonate
- Prednisone
- methylsergide
Name 9 red flags headache
Ssnoopppp
Systemic symptoms (malignant)
Secondary RFs ( HIV, cancer)
Neurological symptoms/signs (sol/intracranial bleed/stroke)
Onset sudden/ after recent head trauma < 3 months
Older: new onset /progressive pain (>50 - GCA )
Previous history: first time/ change in pattern
Precipitated by Valsalva
Papilloedema, other eye symptoms (intracranial lesion/bleed/ stroke / raised IcP / meningitis)
Postural aggravation, pain (tender) @ temporal region + jaw claudication (temporal arteritis)