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Neuro - EXAM > Migraine > Flashcards

Migraine Flashcards

1
Q

How long should attacks normally last?

A

4 - 72 hours

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2
Q

Name 4 features of the headache?

A

Unilateral
Pulsating
Moderate to severe intensity
Aggravated by routine physical activity (e.g. stairs)

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3
Q

Name two symptoms during the headache

A

Nausea and/or vomiting

Photophobia and phonophobia

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4
Q

5 phases of a migraine

A
  1. Prodrome - tiredness/yawning
  2. Aura - visual/speech disturbances
  3. Headache
  4. Resolution
  5. Recovery
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5
Q

Acute Tx for Migraine

A

Oral tryptan and NSAID/paracetamol

+/- metoclopramide or prochlorperazine

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6
Q

Prophylactic Tx for Migraine

A

Topiramate or propranolol (advice required in women of childbearing age)

Amitriptyline can also be considered

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Neuro - EXAM (9 decks)

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