Headache Flashcards
1
Q
Tension Headaches
A
Band like pressure Constant squeezing tightness Min-7 days Usually mild to moderate Subcategories: infrequent/frequent episodic, chronic No NV
2
Q
Migraines
A
Unilateral, may switch sides Throbbing, synchronous with pulse Periodic, cycles of several months and years 4-72 hr Family history, females Migraine with aura or without
3
Q
Cluster
A
Unilateral, radiating up or down from one eye
Severe, bone crushing
May have been months or years between attacks
5 min-3 hr
Awakens from sleep
Smoking and alcohol may be associated
4
Q
Tension Headaches treatments
A
Abortive: NSAIDs and Tylenol Preventive -tricyclic antidepressants: amitriptyline -SSRI: fluoxetine -Antiseizure: topiramate -psychotherapy -muscle relaxation training
5
Q
Clinical manifestations of migraines
A
Generalized edema Irritability Pallor NV Sweating
6
Q
Migraine Drugs
A
triptans: first line
7
Q
Cluster Drug Therapy
A
Not as effective
- inhalation of 100% oxygen at 7-9L
- Sumatriptan