Headache Flashcards

1
Q

Evaluation:

A
chronology 
location, duration, quality
associated activity: exertion, sleep, tension, relaxation
timing r/t menstrual cycle
presence of assoc symptoms
'triggers'
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2
Q

Tension HA

A

vise like or tight in quality
no neuro
may be most intenses about neck or back of head

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3
Q

Mgmt of tension HA

A

OTC analgesic

relaxation

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4
Q

Classic migraine

A

with an aura

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5
Q

common migraine

A

without an aura

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6
Q

Migraine Lab/diagnostics (I/P with new onset)

A
blood chem, BMP
CBC
VDRL (r/o syphilis)
ESR
CT scan of head
other studies ind. by Hx/PE
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7
Q

initiate migraine prohylatic treatment, when?

A
occurs more than 2-3 X month
Amitryptiline
Verapamil
Topiramate
Gabapentin
Magnesium
Propanolol
Clonidine
Imipramine
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8
Q

Mgmt of acute migraine

A

Rest in dark
ASA right away
Sumatriptan (Imitrex) 6mg SQ, may repeat 1 hour up to 3 X day
Sumatriptan 25 mg po at onset of HA

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9
Q

Cluster HA

A

mostly middle aged men

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10
Q

Character of Cluster HA

A
  • severe, unilateral, PERIORBITAL pain occurring daily for several weeks
  • usu. occur at night
  • ipsilateral nasal congestion, rhinorrhea, and eye redness may occur
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11
Q

Mgmt of cluster HA

A

inhalation of 100% O2
Sumatriptan 6mg SQ may be effective
Ergotamine tartrate aerosol inhalation (Ergostat) may be effective

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