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Y4R3 - Medicine II 🩺 > L3: Headache > Flashcards

L3: Headache Flashcards

1
Q

Def of Headache (Cephalgia)

A
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2
Q

Incidence of Headache (Cephalgia)

A

It is the most common form of pain affecting 90 - 99% of the population at any time of their Life

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3
Q

Pathogenisis of Headache (Cephalgia)

A
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4
Q

Classification of Headache (Cephalgia)

A

1ry & 2ry

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5
Q

1ry Headache

A
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6
Q

2ry Headache

A
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7
Q

Def of Migraine

A

Chronic, Episodic (in attacks and free in between) the headache combined with Neurological, GIT and Autonomic manifestations.

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8
Q

Epidemeology of Migraine

A
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9
Q

Characters of attack of Migraine

A
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10
Q

Def of Migraine Triggers

A
  • Certain substances or conditions that contribute in the beginning of the pathophysiology of migraine.
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11
Q

Examples of Migraine Triggers

A
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12
Q

Classification of Migraine

A
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13
Q

Incidence of Migraine with aura (classic migraine)

A

Less common than migraine without aura (1:8)

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14
Q

What is Migraine with aura (classic migraine) a RF for?

A

Ischemic Stroke

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15
Q

What congenital anomaly is associated with Migraine with aura (classic migraine)?

A

50 % have Patent Foramen Ovale

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16
Q

Aura in Migraine with aura (classic migraine)

A
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17
Q

Complicated Migraine

A

Types of migraine that is associated with:
- Transient Hemiplegia
- Transient Ophthalmoplegia

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18
Q

Pathogenesis of Migraine

  • Neurovascular Theory
A
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19
Q

Pathogenesis of Migraine

A
20
Q

Pathogenesis of Migraine

  • Vascular Theory
A
21
Q

Pathogenesis of Migraine

  • Serotonergic Abnormalities
A
22
Q

Pathogenesis of Migraine

  • Integrated Theory
A
23
Q

Dx of Migraine

A
  • History: characteristics of the attack.
  • Absence of neurological signs.
  • Negative investigations: either neurological or laboratory.
24
Q

TTT Aspects of Migraine

A
  • Acute
  • Prophylactic
25
Q

Oral Acute Migraine TTT

A
26
Q

Oral Acute Migraine TTT

  • Specific TTT
A
27
Q

Oral Acute Migraine TTT

  • Non-Specific TTT
A
28
Q

Preventive TTT of Migraine

A
29
Q

Preventive TTT of Migraine

  • Indications
A
  • > 2 attacks / month
  • Attacks last > 24 hours
  • Attacks cause major disturbance for 3 or more days
  • H/O complicated migraine
30
Q

Preventive TTT of Migraine

  • Drugs
A
31
Q

Preventive TTT of Migraine

  • Beta Blockers
A
32
Q

Preventive TTT of Migraine

  • TCA
A
33
Q

Preventive TTT of Migraine

  • Neuromodulators
A
34
Q

Def of Cluster Headache

A

A rare, severe form of chronic headache.

35
Q

Incidence of Cluster Headache

A

Common in males than females (9: 1)

36
Q

Characters of Cluster Headache

A
37
Q

Periodicity in Cluster Headache

A
  • Rec 1-3 times/ day
  • Lasts 1-2 month with freedom periods in between clusters for many months.
38
Q

Autonomic Symptoms in Cluster Headache

A
39
Q

Abnormal Behaviour in Cluster Headache

A
  • Severe Irritation,
  • Pressure over the affected side
  • Restlessness
  • Agitation
40
Q

Managment of Cluster Headache

A
  • Acute TTT
  • Prophylactic
41
Q

Managment of Cluster Headache

  • Acute TTT
A
42
Q

Managment of Cluster Headache

  • Prophylactic TTT
A
  • Ergotamine
  • Valproate
  • Topiramate
43
Q

Def of Tension Headache

A
  • Commonest type of headache, Constitutes 30-80% of try headaches.
44
Q

Incidence of Tension Headache

A
  • Commonest type of headache, Constitutes 30-80% of try headaches.
45
Q

Characters of Tension Headache

A
46
Q

Clinical Types of Tension Headache

A
47
Q

Managment of Tension Headache

A

Y4R3 - Medicine II 🩺 (16 decks)

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