Headaches Flashcards
5-20 mins of zig zag lines in vision, then: Unilateral pain, throbbing, 6-7/10 pain motion makes it worse nauseous, photo/phonophobic no neurological signs
what is it and what is immediate and long term management
migrane with aura
analgesia (aspirin, paracetamol or naproxen)
metoclopramide (anti emetic)
sumatriptan
long term
amitriptyline/valproate/topiramate/propanolol
mild/moderate headache
band like, bilateral
what is it and what is immediate and long term management
tension headache
massage, ice etc
dont overuse paracetamol
amitryptyline if bad
20-40y/o male
excruciating retroorbital pain, with the eye red and teary, rocks about during bouts 30-90 mins
what is it and what is immediate and long term management
cluster headache
o2 and sumatriptan SC
longterm
verapamil/lithium
50+ y/o
pain in temporal arteries, hurts to comb hair
temporal arteries are hard, pulseless and tender
jaw claudication
amaurosis fugax can occur
what is it and what is immediate and long term management
giant cell arteritis
raised ESR - temporal biopsy to confirm
Prednisolone required to prevent blindness
chick having 15+ headaches a month, for over three months now.
pops paracetamol for all of these
likely diagnosis?
chronic daily headache
-> medication overuse headache
chap gets stabbing pain on head in a specific part
primary stabbing headache
gent gets headache when he coughs
primary cough headache
however beware the chance of raised ICP - CT head
60-70 y/o
gets knife/electric shock like pain unilaterally in 1/3 of face
happens when washing/shaving/cold wind
trigeminal neuralgia
dilated vessels near pons pushing on nerve
carbamazepine
headache on waking, worse when coughing/straining
raised ICP - ?idiopathic intracranial hypertension
headache which is worse standing up, better lying down.
had an LP yesterday. and today
low CSF can cause headache
