Headache Flashcards

1
Q

What are the general types of headache?

A

Primary

Secondary

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2
Q

What are some primary types of headache?

A

Tension type headache
Cluster headache
Migraine

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3
Q

What are some secondary types of headache?

A
Tumour
Meningitis
Vascular disease
Systemic infection 
Head injury 
Drug induced
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4
Q

What is the commonest type of headache?

A

Primary

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5
Q

What is the most frequent type of primary headache but is NOT disabling?

A

Tension type headache

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6
Q

What is the presentation of tension type headache?

A

Mild Bilateral headache

Not limiting

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7
Q

How long does infrequent ETTH occur?

A

<1 day/ month

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8
Q

How often down frequent ETTH last?

A

1-14 days /month

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9
Q

How long does CTTH last for?

A

> 15 days

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10
Q

Wha abortive treatment can be given for TTH?

A

Aspirin
Paracetamol
NSAIDs
(limit to 10 days/ month or 2 days/ week)

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11
Q

What preventative treatment can be given for TTH?

A

TCAs

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12
Q

What is the most frequent DISABLING headache?

A

Migraine

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13
Q

What is a migraine?

A

A chronic disorder with episodic attacks

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14
Q

What symptoms are observed during attack?

A

Headache
Nausea
Photophobia
Functional disability

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15
Q

What are some of the triggers of migraine?

A
Stress
Dehydration 
Hunger 
Hormone
Diet 
Sleep disturbance 
Environmental stimuli
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16
Q

What symptoms may be observed in a premonitory phase of migraine?

A

Mood change -irratibility
Fatiguw
muscle change

17
Q

What symptoms are observed in aura?

A

Visual, sensory, motor or speech symptoms

18
Q

What other condition can an aura/ migraine be confused with?

19
Q

How long does a chronic migraine last for?

A

> 15 days of headache of which > 8 days have been migraine, for more than 3 months

20
Q

What can exacerbate chronic headaches?

A

Medication overuse

21
Q

How many days should meds be used in treatment of headache?

A

<10 days/month

22
Q

What can be used in the treatment of migraine?

A

Aspirin
NSAIDs
Triptans

23
Q

What prophylactic treatment can be given for migraines?

A

Propanolol
Anti-epileptics
TCAs

24
Q

What type of migraine gets bettie in pregnancy?

A

Migraine without aura

25
Which medication is contraindicated in women with active migraine with aura?
OCT pill
26
What medications should be avoided as prophylactic meds for migraine in young women?
Anti-epileptics