Headaches

Question 1

do headaches result from vasoconstriction or vasodilation?

Answer 1

vasocodilation d/t serotonin depletion secondary to serotonin release

Question 2

what symptoms accompany trigeminal autonomic cephalgia?

Answer 2

ptosis
miosis
conjunctival infection
lacrimation
rhinorrhea

Question 3

what is the first line of treatment for migraines?

Answer 3

identification/avoidance of triggers

Question 4

is OMT for migraines prophylactic or abortive?

Answer 4

prophylactic

Question 5

what trigger does OMT for migraines address?

Answer 5

tension headache trigger

Question 6

what is the order of OMT treatment for migraines?

Answer 6

upper thoracics
cervical
cranial

Question 7

what type of disease is temporal vasculitis?

Answer 7

autoimmune

Question 8

what is the treatment for temporal arteritis?

Answer 8

high dose prednisone

Question 9

a patient presents with temporal arteritis like symptoms, in on coumadin for A-fib, and reported minor head trauma 3 weeks ago…what emergency could be happening?

Answer 9

subdural hemorrhage

Question 10

buzz word for subarachnoid hemorrhage?

Answer 10

thunderclap

first/worst

Question 11

buzz word for trigeminal nerualgia?

Answer 11

along one or more division

-consider non-herpetic zoster or bell’s palsy

Question 12

intracranial mass

Answer 12

gradual onset

Question 13

HA buzz words: unilateral

Answer 13

migraine

Question 14

HA buzz words: band-like

Answer 14

tension

Question 15

HA buzz words: orbitotemporal

Answer 15

cluster

Question 16

HA buzz words: pulsing/throbbing

Answer 16

migraine

Question 17

HA buzz words: squeezing/pressing

Answer 17

tension

Question 18

HA buzz words: boring/penetrating

Answer 18

cluster

Question 19

HA buzz words: no impact on ADLs

Answer 19

tension

Question 20

HA buzz words: days duration

Answer 20

migraine

Question 21

HA buzz words: N/V

Answer 21

migraine

Question 22

HA buzz words: photophobia, phonophobia

Answer 22

migraine

Question 23

HA buzz words: aggravated by movement

Answer 23

migraine

Question 24

HA buzz words: aura

Answer 24

classic migraine

Question 25

HA buzz words: dark, quiet room

Answer 25

migraine

Question 26

HA buzz words: pacing, can't sit still

Answer 26

cluster

Question 27

HA buzz words: young age of onset

Answer 27

migraine

Question 28

HA buzz words: female patient

Answer 28

migraine

Question 29

HA buzz words: male patient

Answer 29

cluster

Question 30

HA buzz words: family hx

Answer 30

migraine

Question 31

HA buzz words: initiated by stress

Answer 31

tension

Question 32

HA buzz words: sleep disturbances

Answer 32

tension

Question 33

HA buzz words: fullness, tightness

Answer 33

tension

Question 34

HA buzz words: pressure sensation in the forehead, temporal area, or back of the head or neck (suboccipital)

Answer 34

tension

Question 35

what dictates episodic tension HA?

Answer 35

>10 previous episodes

Question 36

what dictates chronic tension HA?

Answer 36

>15 days/month for >6 months

Question 37

HA buzz words: waxing and waning

Answer 37

tension

Question 38

HA buzz words: palpation reproduces symptoms

Answer 38

tension

Question 39

HA buzz words: upper thoracic/rib SD

Answer 39

tension

Question 40

HA buzz words: works at a desk

Answer 40

tension

Question 41

HA buzz words: scotomas (blind spots in eyes)

Answer 41

classic migraine aura

Question 42

HA buzz words: photopsia (flashing lights)

Answer 42

classic migraine aura

Question 43

HA buzz words: paresthesias (abnormal sensations)

Answer 43

classic migraine aura

Question 44

HA buzz words: visual, olfactory, and auditory hallucinations or syncope (passing out)

Answer 44

classic migraine aura

Question 45

HA buzz words: vertigo w/ migraine

Answer 45

basilar artery migraine

Question 46

HA buzz words: eye muscle weakness w/ migraine

Answer 46

ophthalmoplegic migraine

Question 47

HA buzz words: facial neuritis/neuralgia of lower half of face

Answer 47

lower-half headache (migraine)

Question 48

HA buzz words: birth control pills

Answer 48

migraine

Question 49

HA buzz words: last weeks to months

Answer 49

cluster

Question 50

HA buzz words: excruciating pain

Answer 50

cluster

Question 51

HA buzz words: stopping meds

Answer 51

drug-induced HA