1:: Headache Flashcards Preview

Neurology Week 3 2018/19 > 1:: Headache > Flashcards

Flashcards in 1:: Headache Deck (57)
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1

What mnemonic should you use to take a headache history?

SOCRATES

2

Sudden headaches are usually caused by intracranial ___.

haemorrhage

3

What are some exacerbating factors for headaches?

Drugs, alcohol (including caffeine)

Diurnal / seasonal variation (cluster headaches)

Menstruation (related to oestrogen levels)

4

Some types of headache are accompanied by autonomic symptoms.

What are some examples?

N&V

Sweating

5

Apart from autonomic symptoms, what are some other symptoms associated with headaches?

Nasal stuffiness

Horner's symptoms (miosis, ptosis)

Diplopia

Photophobia

Phonophobia (aversion to loud noises)

6

What are some red flags for headaches?

New/sudden onset in those > 55

Early morning onset

Hx malignancy, systemic illness

Exacerbated by valsalva manoeuvres

7

Headaches occurring at which time are a red flag?

Early morning

8

New or sudden onset headache in a patient aged > ___ years old is a red flag.

> 55

9

What does the oral contraceptive pill increase your risk of?

Stroke

10

What are the symptoms of a migraine?

Headache

of a short/medium course

+/- a visual aura

11

Are migraines unilateral or bilateral?

Unilateral 

12

Migraines are more common in (men / women).

women

13

The headache of a migraine tends to be worst on ___.

movement

14

Which

a) severity

b) frequency

of headache is required to diagnose migraine?

a) Moderate/severe

b) 5 attacks

15

Often, patients suffering a migraine are averse to light.

What is this symptom called?

Photophobia

16

How long after an aura sets in does a migraine usually follow?

Within an hour

17

What are some triggers for migraine?

Poor sleep

Diet

Stress

Hormonal factors

Exercise

18

What is thought to be the biggest risk factor for migraine?

Stress

19

How can you help a patient to identify their migraine triggers?

Headache diary

20

What is the general non-pharmacological management for migraine?

Avoid triggers

Rest in a dark room

Complimentary therapies e.g acupuncture

21

What is the abortive pharmacological management for acute migraines?

NSAID OR Triptan e.g rizatriptan

+/- antiemetic

22

___ medication can be given to prevent migraines in people who suffer frequent episodes.

Prophylactic

23

What beta blocker is given prophylactically for migraines?

Propranolol

24

Beta blockers for migraines must be avoided in people with which diseases?

Asthma

Peripheral vascular disease

Heart failure

25

Which carbonic anhydrase inhibitor can be given prophylactically for people who suffer migraines?

Topiramate

26

Which drugs can be given prophylactically to people who suffer migraines?

Propranolol

Topiramate

Adjuncts e.g amitryptyline, gabapentin, Botox...

27

With prophylactic drugs, what dose is aimed for in migraine patients?

Lowest possible

28

How long are prophylactic drugs for migraine trialled for?

4 months

29

What is the important dietary advice for migraine patients?

Healthy, balanced diet (avoid things like chocolate)

Plenty of water

Avoid caffeine

30

Prophylactic treatment should be considered in patients having more than ___ migraines per month.

3 migraines per month