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Clinical Medicine 4 > Headaches > Flashcards

Headaches Flashcards

1
Q

Most common HA in general population?

A

Tension Headache

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2
Q

Describe Tension Headache sx

A

Bilateral hand-like vise-like tight pressure from forehead around sides to occiput. Mild to moderate pain. No N/V.

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3
Q

Frequent Tension Headache how many days/mo?

A

1-14d/mo

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4
Q

Tx for all Tension Headache?

A

NSAIDs, ASA, APAP. +/- caffeine.

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5
Q

PPX for Tension Headache?

A

Amitriptyline (TCA)

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6
Q

Any N/V or focal neuro sx in Tension Headache?

A

No

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7
Q

Chronic Tension Headache tx?

A

Topirmate and Gabapentin

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8
Q

What is #1 MC complaint to neurologists?

A

Migraine HA

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9
Q

Which nerve conducts Migraine HA?

A

Trigeminal

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10
Q

When do Migraine HA begin and peak?

A

Begin in adolescents, peak at middle age

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11
Q

Pain and neuro deficits in Migraine HA?

A

Yes. Severe HA, focal neuro sx (aura in 1/3)

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12
Q

1st line tx Migraine HA without nausea of vomiting?

A

NSAIDs, APAP

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13
Q

When Tripans used to ppx Migraine HA?

A

If no response to single or combo analgesics

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14
Q

How many Migraine HA per month to warrant prevention therapy?

A

3-4/mo

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15
Q

Which triptain good for Migraine HA abortive?

A

Frovatriptin

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16
Q

Beta blocker and what age in Migraine HA?

A

> 60 don’t use

17
Q

PPX in Migraine HA?

A

Beta blockers, CCBs, TCAs, anticonvulsants

18
Q

Cluster HA etiology?

A

Trigeminal autonomic cephalagia

19
Q

When Cluster HA chronic?

A

≥15day/mo for 3+ mo

20
Q

Where pain in Cluster HA?

A

Unilateral Orbital/supraorbital or temporal sharp/lancinating pain

21
Q

Neuro sx in Cluster HA?

A

Ipsilateral ptosis, miosis, anhydrosis, nasal congestion/rhinorrhea, conjunctival injection, lacrimation

22
Q

Tx for Cluster HA?

A

NRB 100% O2 12-15LPM for 15-20min. Sumatriptan helps during attack.

23
Q

Cluster HA ppx?

A

Verapamil

24
Q

Define Secondary HA

A

Head pain d/t underlying neuro issue.

25
Q

When to suspect Secondary HA?

A

Abrupt, worst, or progression of severity

26
Q

Three types of Primary HA?

A

Migraine, tention, cluster/reoubt.

27
Q

Primary HA etiology?

A

Idiopathic.

28
Q

MC HA in women?

A

Tension/migraine.

29
Q

Pseudotumor Cerebri type of HA?

A

Secondary

30
Q

Sx of Pseudotumor Cerebri?

A

N/V, pulsatile tinnitus, visual changes

31
Q

Pappiledema with which HA?

A

Pseudotumor Cerebri

32
Q

LP shows what in Pseudotumor Cerebri?

A

CSF is normal, increased opening pressure.

33
Q

CN6 palsy in which HA?

A

Pseudotumor Cerebri

Clinical Medicine 4 (10 decks)

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