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?

A

TIA

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
Q

Which medication is contraindicated in women with active migraine with aura?

A

OCT pill

26
Q

What medications should be avoided as prophylactic meds for migraine in young women?

A

Anti-epileptics