Headaches Flashcards

1
Q

Tension H/a: characteristics

A
  • most common

- Considered ‘normal’

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2
Q

Episodic vs Chronic Tension H/a

A

> or

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3
Q

Tension H/a: presentation

A
  • band of tension around head
  • constant, dull, throbbing ache
  • sore neck and shoulder muscles
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4
Q

Tension H/a: TX medication

A
Analgesics (OTC pain killers)(Cause rebound h.a)
Tricyclic Antidepressents (prevent chronic h/a)
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5
Q

Migraine: characteristics

A

A throbbing or pulsing one sided episodic h/a
Occurs more in younger population
Accompanying sx

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6
Q

Migraine: causes

A

Unknown
Poss blood vessels become inflamed (neurovascular h.a)
Heredity

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7
Q

Migraine: phases

A
  • predrome
  • aura
  • migraine
  • postdrome
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8
Q

Migraine: predrome

A
  • occurs hours to days before

- changes in psychology and changes in neurological

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9
Q

Migraine: aura

A
  • occurs 5- 20 minutes before
  • variety of emotional and visual changes
  • parathesis second most common
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10
Q

Migraine: Migraine

A
  • intense throbbing or pulsating worse with movement and activity
  • often debilitating
  • typically begin in one place and spread
  • last for 2 hours up to days
  • accompanying sx
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11
Q

Migraine: postdrome

A
  • a feeling of tiredness and exhaustion after H/a
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12
Q

Migraine: common vs classic vs complicated

A

without aura vs with aura vs with worse than aura

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13
Q

Migraine: ophthalmoplegica

A

Intense pain behind eye
Vomiting
Eyelid begins to droop

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14
Q

Migraine: status

A

lasts longer than 72 hours

May require hospitalization

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15
Q

Migraine: tx stratagies

A

Prophylactic: prevent or reduce migraines
Abortive: shorten current migraines

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16
Q

Migraine: tx- non-pharmalogical

A

Identify and reduce triggers of migraine

State of brain sensitivity to change

17
Q

Migraine: prophylactic tx

A
  • Frequent H/a (3 or more a month)
  • Don’t respond to abortive tx
  • starts off as monotherapy
18
Q

Migraine: Prophylactic medication

A
  • beta blockers
  • tricyclic antidepressants
  • neuromodulaters/ anti-siezure
19
Q

Migraine; Betablockers

A

most common tx
regulate blood pressure by controlling heart rate
(Don’t use for diabetics or asthma)

20
Q

Migraine: Trycyclic antidepressants

A
  • block reabsorbtion of serotonin

- take 2-3 weeks to work

21
Q

Migraine: Neuromodulaters/anti-siezure

A

Valproic Acid

Gabapetin

22
Q

Migraines: Abortive tx

A
  • OTC can work

- dark room and little stimulation

23
Q

Migraine: analgesics

A
  • tx symptoms of migraine
  • take at first sign
  • best for infrequent migraines or breakthrough h/a (when they occur despite prophylactic medication)
24
Q

Migraine: Ergot alkaloids

A
  • promote vascularconstriction and prevent vascular dilation

- take at first sign, not as effective after

25
Q

Migraine: Seratonin Agonists

A
  • fast acting, low side effects, effective

- taken at any time

26
Q

Migraine: Midrin

A

Three parts:

  • Acetaminophen helps to decrease the pain from the headache.
  • Isometheptene helps to narrow the widened blood vessels in the head.
  • Dichloralphenazone helps to relax the body.
27
Q

Migraine: Stadol/ Toraldal

A

Strong pain meds used for pain after surgery generally

28
Q

Cluster H/a: Definition

A
  • repetitive, short, localized h/a for a short amount of time then a period of freedom from pain
29
Q

Cluster H/a: presentation

A
  • unilateral
  • severe
  • located at temple
  • sudden onset
  • peak at 15 minutes, fade by 45
30
Q

Cluster H/a: causes

A

Histamine injections
Seasonal, allergies, etc
Alcohol
Smoking

31
Q

Cluster H/a: acute attack tx

A

High flow oxygen
Seratonin agonist
High strength pain meds

32
Q

Cluster H/a: Ergots

A

Nightly ingestion can help

Occasionally can help during pain

33
Q

Cluster H/a: Verapimil

A
  • calcium channel blocker

- can cause heart blocks

34
Q

Cluster H/a: Lithium

A
  • tx bipolar (bipolar cyclical so is cluster h/a)
  • better with chronic patients
  • effects diminish over time
35
Q

Cluster H/a: Predisone

A

Short term therapy

High improvement rate