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
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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
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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

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4
Q

Tension Headaches treatments

A
Abortive: NSAIDs and Tylenol
Preventive
-tricyclic antidepressants: amitriptyline
-SSRI: fluoxetine
-Antiseizure: topiramate 
-psychotherapy 
-muscle relaxation training
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5
Q

Clinical manifestations of migraines

A
Generalized edema
Irritability
Pallor
NV
Sweating
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6
Q

Migraine Drugs

A

triptans: first line

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7
Q

Cluster Drug Therapy

A

Not as effective

  • inhalation of 100% oxygen at 7-9L
  • Sumatriptan
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