Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

CLIN MED - Neuro - Ashley Sarah Lauren > Obj. 17: Headache - aa > Flashcards

Obj. 17: Headache - aa Flashcards

1
Q

vise-like

A

tension HA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

pulsatile and unilateral pain

A

migraine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

periorbital and unilateral pain

A

cluster

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

NO triptans

A

tension HA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

middle-aged men

A

cluster

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

episodic with onset in adolescence/early adulthood

A

migraine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Name 3 ways you could differentiate between migraine and tension HA.

A

~migraine is pulsatile, unilateral, and may have focal neurologic disturbances
~tension HA is NOT pulsatile, is pericranial (not unilateral), and has NO focal neurologic disturbances

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

associated with Horner syndrome

A

cluster

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

risk factor for stroke

A

migraine with aura

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

most common type of primary HA disorder

A

tension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

may respond to suboccipital corticosteroid injection

A

cluster

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Name 2 abortive migraine medications.

A

~ergotamines

~triptans

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Name 3 prophylactic migraine therapies.

A

~butterbur
~Depakote
~atenolol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

may have accompanying ipsilateral nasal congestion/rhinorrhea, lacrimation & eye redness

A

cluster

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Your patient is a 15 year old football player who is complaining of a constant dull ache in his head, losing his balance when he moves his head, poor concentration, impaired memory, and irritability.
What are you going to ask first in your HPI?
If it’s what you think, what are you going to tell him about the expected course of illness and treatment?

A

~Did he have any head injury or concussion in the past 1-2 days?
~If this is post-concussive headache, it may worsen over the next few weeks and then gradually subside.
~Can treat with analgesics; if severe may use migraine-type treatments.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is the cause of about half of chronic daily headaches?

A

medication overuse

17
Q

What is rebound/medication headache? (4)

A
  1. chronic pain unresponsive to medication
  2. dull bilateral pain for at least 15 days/month, 4 hrs/day
  3. often present upon awakening
  4. goes away 1-3 months after stopping offending meds
18
Q

What are some medications that commonly cause rebound/medication headaches?

A 
Excedrin
caffeine
NSAIDs
triptans
ergotamines
butalbital
19
Q

According to lecturer, what is the best bridge therapy option?

A

DHE + metoclopramide IV

20
Q

Cluster HA requires subcutaneous or intranasal triptan administration, not oral.
T/F

A

TRUE

CLIN MED - Neuro - Ashley Sarah Lauren (12 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions