Headaches

Question 1

3 headache categories

Answer 1

tension - migraine - cluster

Question 2

tension headaches dx (what question do you ask)

Answer 2

EMG
physical exam (resistance turning head, tenderness)
does not present with n/v - no specific timing - no aura

Question 3

migraine headache dx

Answer 3

hereditary - family hx - possible decrease in estrogen?
rule out structural abnormalities - MRI
photo/phono-sensitivity 
pt history
n/v

Question 4

cluster headache dx

Answer 4

neuro-imaging to rule out structural abnormalities

pt. history - when does this happen?

Question 5

tension headache natural/drug therapy

Answer 5

stress reduction techniques
ASA, NSAIDS
acupuncture
biofeedback (control body responses)
reiki therapy

Question 6

migraine headache natural/drug therapy

Answer 6

reduce external stimuli - hibernate
nerve block
fluids
triptans (vasoconstrict) - abortive therapy
prophylaxis trt (topamax, beta-blockers, SSRI’s, Botox)
biofeedback

Question 7

migraine headache 1st line of defense

Answer 7

hibernate - remove external stimuli (light, sound, smell) - used along with abortive therapy

Question 8

cluster headache drug therapy

Answer 8

high flow oxygen - very effective and safe
prophylactic and abortive trt- ergotamine
nerve block - where is headache stemming from

Question 9

pt/family teaching r/t headaches

Answer 9

migraine - aura is a warning - meds most effective

Question 10

which headache has triggers

Answer 10

migraine headaches

Question 11

what type of headache has a lot of muscle involvement

Answer 11

tension headaches

Question 12

what is helpful in dx cluster headaches

Answer 12

headache diary

Question 13

when treating headaches start with

Answer 13

the least invasive procedures

Question 14

s/e of tension headache meds

Answer 14

Renal, liver function, GI bleeds

Question 15

triggers r/t headaches

Answer 15

cheese, chocolate, hot dogs, caffeine, nicotine, ice cream, stress, fatigue, citrus fruits, alcohol, perfume