ECR Table Headaches Flashcards Preview

ECR 2012 > ECR Table Headaches > Flashcards

Flashcards in ECR Table Headaches Deck (23):
1

What are three types of primary headaches

Cluster
Tension
Migraine

2

Which type of primary headaches have aura?

Migraines have with aura, without aura, or variaents

3

What is the process of MIGRAINES?
What is its possbile origin?
What does it lead do?

primary neuronal dysfunction

possibility of brainstem origin

Causing imbalance of excitatory and inhibitory NT and affecting carniovascular modulation

4

What is the location of migraines

unilateral in 70%

Bifrontal or global in 30%

5

What is the quality and severity of migraines

Throbbing or aching

variable in severity

6

What is the timing of migraines
Onset / Peak?
Duration?
Course?

Onset: fairly rapid, reachin peak in 1-2 hours

Duration: 4-72 hours

Course:Peak incidence early to mid-adolescensce;

7

Prevelance of migraines

6% in men
15% in women

recurrent--usualy monthy but weekly in 10%

8

Associated factors or migraine

Nausea, vomiting, photophobia, phonoboia, viaul auras flickering (zigzagging lines), motor auras affecting ahdn or arm, sensory auras (umbness, tingling usualy precede atack)

9

Factors that aggravate or provoke Migraine

Alochol
Certain foods
tension may provoke

More common premenstrually; aggravated by noise adn bright light

10

Factors that relieve Migraine

Quiet, dark room; sleepl

soetimes transient relef from pressure on involved artery if early in the course

11

Process of TENSION headache

unclear--muscle contraction or vasoconstriction unlikely

12

Location of tension headache

Usually bilateral

May be generalized or localized to BCK of HEAD and upper neck or FRONTOTEMPORAL AREA
or to frontotemporal area

13

Quality and severity of Tension Headache

Pressing or tigthetning pain; ild to moderate intensity

14

Timing of tension headache
Onset?
Duration?
Course?

Onset:gradual
Duration: minutes to days

Course: often recurrent of persistent over long periods;

annual prevelance ~40

15

Ass Factors with Tension Headache

Sometimes photoboia, phonoboia,

NO NAUSEA

16

Factors that aggravate or promote TENSION HEAACHE

Sustained muscle tension, as in driving or typing

17

Factors that REleive Tension Headaches

Possibly massage

Relaxation

18

What is process of CLuster Headache

Unclear
Possibly extracranial vasodilation from neural dysfunction with trigeminovascular pain

19

What is analgesic Rebound?

Withdrawal of medication

20

Factors that aggravate analgesic rebound

Fever
CO
Hypoxia
Withdrawal of caffine
other headache triggers

21

What are headaches from eye disorders? (2)

Errors of Refraction (farsightedness and astigmatism, but not nearsigtedness)

Acute glaucoma

22

What is process of Error of Refraction

Probably sustained contraction of extraocular muscles, and possible frontal, temproal and occipital muscles

23

Location of headaches caused by Errors of refraction

yep