headache-primary

Question 1

what are the types of primary headaches

Answer 1

migrain
cluster
tension

Question 2

3 classifications of migraine

Answer 2

with aura
without aura
migraine variants

Question 3

symptoms of migraine

Answer 3

throbbing pulsatile pain

unilateral and localised pain in the frontal/temporal/ocular area

Question 4

triggers of migraine

Answer 4

Chocolate

Chocolate
Hangovers
Orgasms
Oral contractive pill
Lie-lins
Alcohol
Tumult
Excerise

Question 5

Migraine with aura

what sort of reversible aura can present in migraine?

Answer 5

> visual
sensory-tingling, numbness
speech
motor weakness

Question 6

Migraine with aura

what characteristics can present in migraine?

Answer 6

> At least one aura symptom spreads gradually over >5 min, and/or two or more symptoms occur in succession

> Each individual aura symptom lasts 5-60 min

> At least one aura symptom is unilateral

> Aura is accompanied or followed within 60 minutes by headache

Question 7

Migraine without aura

what are the criteria?

Answer 7

> lasting 4-72 hours

> unilateral
pulsating
moderate/severe pain
aggravated by physical activity

> Nausea /vomiting
photophobia and phonophobia

Question 8

migraine management

Answer 8

avoid triggers
women:stop pill

Medical:

> acute: oral triptan (serotonine receptor agnoist), NASID/Paracetamol

consider anti-emetic

> Prophylaxis:
1st line:topiramate or propranolol

amitiptyline