Headaches Flashcards
Location of tension headache
Across forehead
Severity of tension headache
Mild
Pattern of tension headache
Band-like
How does tension headache resolve
Gradually
Is there visual disturbances in tension headache
No
Associations of tension headache
- stress
- depression
- alcohol
- skipping meals
- dehydration
Difference between 2ry & tension headache
2ry has a clear cause
How long does sinusitis take to resolve
2-3 weeks
Sinusitis can be irrigated with
Saline
RED FLAG:
- fever
- photophobia
- neck stiffness
Meningitis
RED FLAG:
- new neurological symptoms
- haemorrhage
- malignancy
- stroke
RED FLAG:
- dizziness
Stroke
RED FLAG:
- visual disturbance
- temporal arteritis
- glaucoma
RED FLAG:
- sudden onset occipital headache
Subarachnoid haemorrhage
RED FLAG:
- worse on coughing/straining
- postural
Raised ICP
RED FLAG:
- vomiting
CO + raised ICP
RED FLAG:
- trauma
IC haemorrhage
RED FLAG:
- pregnancy
pre-eclampsia
Culprit hormone in hormonal headache
Low oestrogen
Tx hormonal headache
OCP
1st line Tx trigeminal neuralgia
Carbamazepine
2nd line Tx trigeminal neuralgia
Surgery
Only bilateral headache (that is also band-like)
Tension
Unilateral headache that can also be or temporal
Cluster
Headache that comes within an hour of aura
Migraine
Headache that comes on in an hour
Tensions
Sudden headache that often comes at night
Cluster
Pulsating headache
Migraine
Tightening headache
Tension
Intense shooting/stabbing/electric headache
Trigeminal neuralgia
Excruciating pain around the eye
Cluster
What headache has radiation to the neck
Tension
Headache that lasts 4-72 hrs
Migraine (maybe tension)
Headache that lasts seconds-minutes
Trigeminal neuralgia
Episodic headache of 15-160 mins with episodes throughout weeks and months of pain-free
Cluster
Aura symptoms, vomiting, abdominal pain, hyperacusis, paraesthesia are associated with what headache
Migraine
Headache triggered by chocolate, alcohol, COC, cheese, caffeine, travel, exercise
Migraine
Headache associated with stress
Tension
Tic doloureux is associated with
Trigeminal neuralgia
Eye watering, blood-shot and flushing. Rhinorrhoea, miosis and ptosis are associated with what headache
Cluster
Headache that is more common in men and smokers
Cluster
5/10 headache
Tension
Why is a headache diary required for acute management of migraine
Isolate triggers
Lifestyle modifications for acute Mx of migraine
- sleep hygiene
- stress Mx
When are triptans taken in a migraine
Start of headache, NOT aura
Options for prophylactic migraine Mx
- BBs
- tricyclic
2ry headache that comes on in mins-hrs
Temporal arteritis
Character of menigitis pain
Constant/stiffness
Throbbing pain
Temporal cell arteritis
Hit with a baseball bat pain
Subarachnoid haemorrhage
Fullness/ache pain
++ ICP
Jaw claudication
Temporal arteritis
Following symptoms are associated with what headache:
- fever
- generally unwell
- non-blanching rash
- photophobia
Meningitis
Following symptoms are associated with what headache:
- > 55 yo
- scalp tenderness
- visual loss
- non-paulsatile arteries
Temporal arteritis
Following symptoms are associated with what headache:
- collapse, — GCS
- seizures
Subarachnoid haemorrhage
Following symptoms are associated with what headache:
- vomit
- worse w/ cough/lying down
- papilloedema
- seizures
++ ICP