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cdm 2 exam 2 > Lecture 7.2 - Migraine 1 > Flashcards

Lecture 7.2 - Migraine 1 Flashcards

1
Q

Episodic Migraine (EM)

A

< 15 monthly migraine days (MMDs) or monthly headache days

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2
Q

Chronic Migraine (CM)

A

> 15 MHDs for > 3 months (> 8 days are MMDs)

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3
Q

Aura

A

complex of positive and negative focal neurologic symptoms that precedes or accompanies an attack

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4
Q

Positive Symptoms

A

Scintillations
Photopsia
Teichopsia
Fortifiction spectrum

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5
Q

Negative Symptoms

A

Scotoma

Hemianopsia

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6
Q

Medication-overuse Headache

A

self-sustaining cycle of headaches in which the headache returns when the medication wares off, leading to use of more medication utilization which perpetuates the cycle.

Characterized by increased headache frequency and medication consumption

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7
Q

Primary headache

A

Sinus
Cluster
Tension
Migraine

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8
Q

Secondary Headaches

A 
Head trauma
Stroke
Infections
substance abuse/withdrawal
Craniofacial structure disorders

not good for selfcare

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9
Q

Sinus Headache

A

pain is usually behind the forehead and/or cheekbones

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10
Q

Cluster Headache

A

pain is in and around one eye

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11
Q

Tension Headache

A

pain is like a band squeezing the head

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12
Q

Migraine Headache

A

pain, nausea, and visual changes are typical of classic form

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13
Q

Tension Headache onset & duration

A

gradual & Min to days

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14
Q

Migraine Headache onset & duration

A

sudden & hours to 2 days

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15
Q

Sinus Headache onset & duration

A

Simultaneous w/ sinus symptoms & Days (resolves w/ sinus symptoms)

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16
Q

Migraine Risk factors

A 
Gender ( Women > men)
Age
Socioeconomic status
Family History
Diet
Co-morbidities (Neurologic, psychiatric, CV disorders)
17
Q

Acute Migraine Pathophysiology

A

External trigger -> Neuronal dysfunction -> Vasodilation -> Activation of trigeminal nerves -> Neuroeptide release -> inflammation

18
Q

4 phases of acute migraines

A

Prodrome/Premonitory Symptoms
Aura
Headache
Postdrome/Resolution

19
Q

Prodrome/Premonitory Symptoms

A
  1. few hours to days prior to onset of migraine
20
Q

Aura

A

Duration: 20-60min, headache usually begins within 60mins of aura

occurs in ~ 25% of patients

21
Q

Headache Duration

A

4-72hrs

22
Q

Postdrome/Resolution

A

Duration: few hours to few days

23
Q

POUND

A 
P: pulsatile quality 
O: one day duration (4-72h)
U: unilateral
N: nausea/vomiting
D: Disabling
24
Q

Non-pharm therapy for migraines

A 
Cold compress
Rest or sleep
Quiet, dark environment
Devies
ID and avoidance of triggers
Behavior intervention = relaxation tech, acupuncture, wellness programs

cdm 2 exam 2 (16 decks)

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