[headache][migraine] Flashcards
[headache][migraine]: how long do visual aura last
15-30 mins
[headache][migraine]: what precedes the headache by c.1hr
visual aura
[headache][migraine]: how is the headache described
throbbing
[headache][migraine]: what is the distribution of the headache
unilateral
[headache][migraine]: can the aura and headache present independently
yes
[headache][migraine]: allodynia may be present. What is it
all stimuli produce pain
[headache][migraine]: what may precede the headache by days (prodrome) (2)
cravings
sleep disturbances
[headache][migraine]: how might the pt describe the aura
melting of lines
hemianopia
[headache][migraine]: what ocular involvement may there be apart from visual hallucinations
ophthalmoplegia
[headache][migraine]: paraesthesia may typically spread from … to …
fingers to face
[headache][migraine]: if there is no aura what is the minimum number of headaches lasting 4-72hrs required for Dx
5
[headache][migraine]: if there is no aura what associations must be present (2)
nausea/vomiting
photo/phonophobia
[headache][migraine]: if there is no aura what 3 characteristics must the pt describe about the headache
Worsened by usual activity
unilateral
pulsating
[headache][migraine]: what is the mneumonic for remembering potential triggers
Chocolate
[headache][migraine]: what does chocolate stand for
Chocolate hangovers orgasms cheese oral contraceptives lie-ins alcohol tumult exercise
[headache][migraine]: what may be a ∆∆ for the aura
TIA
[headache][migraine]: 1st line Mx (2)
ketoprofen
aspirin (dispersible)
[headache][migraine]: When are triptans CI (4)
IHD cardiac spasms uncontrolled BP SSRIs/lithium ergot use
[headache][migraine]: 2nd line drug Tx
Rizatriptan
[headache][migraine]: SE of triptans
MI/arrhythmias
[headache][migraine]: 3rd line Tx of migraine
Ergotamine
as the headache starts
[headache][migraine]: how does ergotamine work
5HT analog
Contricts cerebral blood vessels
[headache][migraine]: non pharmacological Tx?
rebreathing into a paper bag
[headache][migraine]: prevention of migraine 1st line drug (3)
Propranolol
Amitriptiline
topiramate
[headache][migraine]: what is happening to the cerebral arteries during the aura and headache
Constricting (aura)
dilating (headache)
[headache][migraine]: females on the Pill who have migraines are at increased risk of
Stroke
low dose pill onky
[headache][migraine]: migraine in pregnancy. What drug for prophylaxis
Amitriptiline
[headache][migraine]: what is amitriptiline
TCA (tricyclic antidepressant)
[headache][migraine]: what is a ‘common migraine’
headache without aura
[headache][migraine]: ataxia suggests a … migraine
basilar
[headache][migraine]: what are the dangers with ergots that you must emphasise (2)
Vascular disease
gangrene
[headache][migraine]: in chronic severe migraine what is the last resort Tx
Botulinum tox A injection (12 weekly)
