Headache

Question 1

What the classifications of headache? 2

Answer 1

primary

secondary

Question 2

what are the primary types of headache? 3

Answer 2

migraine
tension
cluster

Question 3

what are the secondary causes of headache? 5

Answer 3

trauma
vascular disorder
withdrawal
infection
psychosis

Question 4

migraine symptoms 6

Answer 4

unilateral
visual disturbance
aura
throbbing
N+V
photophobia

Question 5

how long can a migraine last?

Answer 5

4-72 hours

Question 6

migraine triggers- acronym CHOCOLATE

Answer 6

Chocolate 
Hangover
Orgasm
Cheese
Oral contraceptive
Lie-ins
Alcohol
Tumult
Exercise

Question 7

Migraine treatment 2

Answer 7

NSAID

TCA

Question 8

diagnosing criteria for Migraine - 2 of … and 1 of…

Answer 8

2 of:
unilateral
pulsating
moderate to severe pain
aggravated
1 of:
N+V
photophboia and phonophobia

Question 9

tension headache symptoms - 4

Answer 9

bilateral
no pulsating
frontal/occipital
tender scalp

Question 10

duration of a tension headache

Answer 10

30 min - week

Question 11

where is a tension headache - 2

Answer 11

frontal and occipital

Question 12

treatment of tension headache - 2

Answer 12

relieve stress, anti depressnts

Question 13

where is a cluster headache

Answer 13

periorbital

Question 14

cluster headache symptoms

Answer 14

stabbing pain

Question 15

duration of cluster headache

Answer 15

5 min - 3 hours

multiple times a day, can have pain free intervals

Question 16

treatment for cluster headache - 3

Answer 16

steroid injections
ca inhibitor
melatonin

Question 17

where does sub arachnoid hemorrhage occur

Answer 17

between pia and arachnoid

Question 18

causes of sub arachnoid hemorrhage - 3

Answer 18

trauma
aneurysm
malformation

Question 19

description of sub arachnoid hemorrhage - 2

Answer 19

worst headache ever

thunder clap headache

Question 20

symptoms of sub arachnoid hemorrhage - 8

Answer 20

sudden
N+V
photophobia
deficit
dizzy
orbital pain
diplopia
increase BP

Question 21

meningitis symptoms - 5

Answer 21

N+V
photophobia
sleepiness
confusion
irritability

Question 22

what is temporal arteritis

Answer 22

systemic inflammation vasculitis

Question 23

symptoms of temporal arteritis - 5

Answer 23

headache
pain in shoulders and hips
fatigue
jaw pain
fever

Question 24

what tests to look for in bloods for temporal arteritis - 3

Answer 24

ESR, CRP

FBC- anemia

Question 25

treatment of temporal arteritis

Answer 25

corticosteriods

Question 26

causes of ICP - 4

Answer 26

trauma
hydrocephalus
intercranial tumour
encephalopathy odema

Question 27

signs of ICP - 4

Answer 27

headache
vomiting
diplopia
bradycardia

Question 28

red flags of headaches - 4

Answer 28

sudden
fever, unwell, rash, neck stiffness
neurological deficit
headache within 90 days of injury
jaw, visual, +50

Question 29

sudden headache red flag of..?

Answer 29

SAH, ICH

Question 30

fever, unwell, rash, neck stiffness red flag of..?

Answer 30

meng

Question 31

neurological deficit red flag of…? 2

Answer 31

stroke

glaucoma

Question 32

headache within 90 days of injury red flag of…?

Answer 32

subdural

Question 33

jaw, visial, +50 red flag of…?

Answer 33

temporal arteritis

Question 34

what are the 3 associations between medications and headaches?

Answer 34

1. med overuse
2. rebound headache
3. TCA SE

Question 35

rare but serious causes of headache - 4

Answer 35

co-poisioning, cocaine, cervio-genic, SUNCT

Question 36

2 methods to assess disability impact of headache

Answer 36

HIT6

MIDAS