Headache Flashcards
What the classifications of headache? 2
primary
secondary
what are the primary types of headache? 3
migraine
tension
cluster
what are the secondary causes of headache? 5
trauma vascular disorder withdrawal infection psychosis
migraine symptoms 6
unilateral visual disturbance aura throbbing N+V photophobia
how long can a migraine last?
4-72 hours
migraine triggers- acronym CHOCOLATE
Chocolate Hangover Orgasm Cheese Oral contraceptive Lie-ins Alcohol Tumult Exercise
Migraine treatment 2
NSAID
TCA
diagnosing criteria for Migraine - 2 of … and 1 of…
2 of: unilateral pulsating moderate to severe pain aggravated 1 of: N+V photophboia and phonophobia
tension headache symptoms - 4
bilateral
no pulsating
frontal/occipital
tender scalp
duration of a tension headache
30 min - week
where is a tension headache - 2
frontal and occipital
treatment of tension headache - 2
relieve stress, anti depressnts
where is a cluster headache
periorbital
cluster headache symptoms
stabbing pain
duration of cluster headache
5 min - 3 hours
multiple times a day, can have pain free intervals
treatment for cluster headache - 3
steroid injections
ca inhibitor
melatonin
where does sub arachnoid hemorrhage occur
between pia and arachnoid
causes of sub arachnoid hemorrhage - 3
trauma
aneurysm
malformation
description of sub arachnoid hemorrhage - 2
worst headache ever
thunder clap headache
symptoms of sub arachnoid hemorrhage - 8
sudden N+V photophobia deficit dizzy orbital pain diplopia increase BP
meningitis symptoms - 5
N+V photophobia sleepiness confusion irritability
what is temporal arteritis
systemic inflammation vasculitis
symptoms of temporal arteritis - 5
headache pain in shoulders and hips fatigue jaw pain fever
what tests to look for in bloods for temporal arteritis - 3
ESR, CRP
FBC- anemia
treatment of temporal arteritis
corticosteriods
causes of ICP - 4
trauma
hydrocephalus
intercranial tumour
encephalopathy odema
signs of ICP - 4
headache
vomiting
diplopia
bradycardia
red flags of headaches - 4
sudden fever, unwell, rash, neck stiffness neurological deficit headache within 90 days of injury jaw, visual, +50
sudden headache red flag of..?
SAH, ICH
fever, unwell, rash, neck stiffness red flag of..?
meng
neurological deficit red flag of…? 2
stroke
glaucoma
headache within 90 days of injury red flag of…?
subdural
jaw, visial, +50 red flag of…?
temporal arteritis
what are the 3 associations between medications and headaches?
- med overuse
- rebound headache
- TCA SE
rare but serious causes of headache - 4
co-poisioning, cocaine, cervio-genic, SUNCT
2 methods to assess disability impact of headache
HIT6
MIDAS
