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Primary Care > Tension Headache > Flashcards

Tension Headache Flashcards

1
Q

What are the clinical features of a tension headache?

A

Dull, tight/constricting headache
Milder/moderate
Bilateral headache

Pericranial tenderness O/E

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2
Q

What are the risk factors for tension headaches?

A

Stress
Fatigue
Female
Younger age

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3
Q

What is an episodic tension headache?

A

Lasts 30mins - 7 days

Occurs less than <180d/year

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4
Q

What is a chronic tension headache?

A

> /= 15 days/month

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5
Q

What is the pathophysiology of tension headaches?

A

Release + activation of inflammatory agents -> sensitisation of peripheral trigeminal afferents = central hypersensitivity

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6
Q

How can acute tension headaches be managed?

A

NSAIDs

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7
Q

How can chronic tension headaches be managed?

A

Tricyclic antidepressant

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8
Q

What is the advice to be given to patients about tension headaches?

A

Take medication as soon as headache starts

Headache diary - identify triggers

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Primary Care (31 decks)

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