Headache Flashcards
1
Q
Migraine with aura- Eti
A
- Triggered by emotional/ phys stress
- Foods & alcohol
- Bright lights, noise
- Menstruation
- Family hx
- Neurovascular dysfunction
2
Q
Migraine with aura- Sx
A
- Transient visual sx precede pain
- Photo, phono & osmophobia
- Builds gradually, lasts hours
- Visual field defects, hallucinations
3
Q
Migraine with aura- Dx
A
- HA lasts 4-72 hrs
- Has defining characterisits
- Reversible aura sx
4
Q
Migraine with aura- Tx
A
- Analgesics
- Sumatriptan
- Avoid precipitating factors
5
Q
Migraine without aura- Eti
A
- Triggered by emotional/ phys stress
- Foods & alcohol
- Bright lights, noise
- Menstruation
- Family hx
- Neurovascular dysfunction
6
Q
Migraine without aura- Sx
A
- Bilateral and perioribital pain
- No visual disturbances
- No focal neuro deficits
7
Q
Migraine without aura- Dx
A
- 5+ attacks lasting 4-72 hrs
- Pulsating, moderate to severe pain, aggravated by phys activity
- Nausea, vomiting
8
Q
Migraine without aura- Tx
A
- Analgesics
- Sumatriptan
- Avoid precipitating factors
9
Q
Cluster HA- Eti
A
- Middle aged men
- No fam hx
- Activation of autonomic vascular sx
- Few days to weeks then ends
10
Q
Cluster HA- Sx
A
- Severe unilateral periorbital pain
- Occurs daily for weeks
- Ipsilateral congestion, rhinorrhea, redness of eye, lacrimation, Horner syndrome
- Occur at night, 15min - 3 hrs
- Restlessness and agitation
- Precipitated by alcohol, stress, glare, food
11
Q
Cluster HA- Tx
A
- Sumatriptan
- Lidocaine- intranasal
- High dose steroids 2 weeks
- High dose O2
12
Q
Tension HA- Eti
A
- Exacerbated by stress, fatigue, glare
13
Q
Tension HA- Sx
A
- Generalized HA, most intense at neck, back of head
- Mild to moderate intensity
- Constant, daily HA
- Viselike, tight
- No focal neuro sx
14
Q
Tension HA- Dx
A
- Exclude other HA causes
15
Q
Tension HA- Tx
A
- Analgesics
- Massage, relaxation, biofeedback
16
Q
Postconcussive HA- Eti
A
- Within a day of injury
- Worsens over weeks
17
Q
Postconcussive HA- Sx
A
- Constant, dull ache
- Nausea, vomiting, scotomas
- Dysequilibrium, rotary component
- Impaired memory, poor concentration
- Irritability
18
Q
Postconcussive HA- Tx
A
- Analgesics
- Should resolve in own
- Sumatriptan if severe
19
Q
Mass lesion HA- Eti
A
- Due to all types of intracranial masses
- Displacement of vascular structures
20
Q
Mass lesion HA- Sx
A
- Nonspecific HA- vary
- Worsen with exertion, postural change
21
Q
Mass lesion HA- Dx
A
CT or MRI
22
Q
MOH HA- Eti
A
- Rebound HA due to acetaminophen, opioids, aspirin, triptans etc
23
Q
MOH HA- Sx
A
- HA upon wakening
- Proceeded by migraine or tension HA
- Dull, mild to moderate
24
Q
MOH HA- Dx
A
HA > 15 days per month with HA disorder
25
Q
MOH HA- Tx
A
- Withdrawal offending med, Bridge therapy
26
Q
Chronic HA Tx
A
- Prevention, avoid triggers
- Analgesics
27
Q
Chronic HA- definition
A
- 15 days per month
- 3 + months
- 4 hrs per day
