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Clin Med III Disease Key Notes > HA (Exam #3) > Flashcards

HA (Exam #3) Flashcards

(48 cards)

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1
Q

What are the four types of HA?

A
  • Vascular (migraine, cluster)
  • Muscle contraction (tension)
  • Traction)
  • Inflammatory
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2
Q

Which type of HA is the most common DIAGNOSIS given?

A

Migraine HA

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3
Q

Which type of HA involves unilateral throbbing, pulsating lasting 4-72 hours?

A

Migraine HA

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4
Q

Which type of HA involves “PIN”, and what does this stand for?

A

Migraine HA

  • Photophobia
  • Incapacitating
  • N/V
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5
Q

What type of HA involves allodynia?

A

Migraine HA

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6
Q

What does a “classic” migraine look like?

A

Migraine WITH aura

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7
Q

What does a “common” migraine look like?

A

Migraine WITHOUT aura

- PIN sxs; HA without warning, chronic recurring

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8
Q

What are the four phases of a “classic” migraine?

A
  1. Prodrome
  2. Aura
  3. HA
  4. Postdrome
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9
Q

What phase of a “classic” migraine presents as food cravings, mood change, yawning, fluid retention, constipation?

When does this present?

A

Prodrome

- 24-48 hours pre-HA

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10
Q

What phase of a “classic” migraine presents as +sxs (visual, auditory, sensory motor) and -sxs (loss of function, vision, hearing, sensation, motor)?

When does this present, and how long doe sit typically last?

A

AURA

  • 10-60 minutes pre-HA
  • Lasts 60 minutes
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11
Q

How do the actual HA sxs of a Migraine WITH Aura differ from a Migraine WITHOUT Aura?

A

BOTH: unilateral throbbing/pulsatile pain

  • WITH: N/V OR photophobia OR phonophobia
  • WITHOUT: PIN (photophobia, incapacitating, N/V); allodynia
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12
Q

When might a CT be ordered to evaluate a Migraine HA (4)?

A
  • “Worst HA of life”
  • Change in HA presentation
  • New/unexplained neuro sxs
  • Refractory
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13
Q

What is the first line treatment for a mild/moderate migraine HA (3)? Severe HA (2)?

A
  • Mild/moderate: NSAID, Acetaminophen, Excedrin

- Severe: Triptans, Ergots

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14
Q

What AE may be seen with the use of Triptans for Migraine HA?

A

“Triptan Sensation”

- Injection site rxn, CP/heaviness, flushing, weakness, drowsy

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15
Q

What AE is seen with both Triptans and Ergots? What is the main CI associated with these drugs?

A

VASOCONSTRICTION (dig deep to Pharm ppl)

- CI if pregnant

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16
Q

What three drugs can be considered for Migraine HA prophylaxis?

A
  • Propranolol (BB)
  • Amitriptyline (antidepressant)
  • Topiramate (anticonvulsant)
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17
Q

Which type of HA is the most COMMON HA?

A

Tension-Type HA (TTH)

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18
Q

Which type of HA involves bilateral pressure lasting 30 min. to 7 days?

A

Tension-Type HA (TTH)

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19
Q

Which type of HA involves “band-like” pressure?

A

Tension-Type HA (TTH)

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20
Q

Which type of HA is associated with anorexia, head/neck pain with muscle pain, bruxism?

Study These Flashcards
A

Tension-Type HA (TTH)

21
Q

How are ALL HA diagnosed? Which two can also involve imaging, and what type of imaging is preferred?

Study These Flashcards
A

CLINICAL

  • Migraine HA = CT
  • Cluster HA = MRI
22
Q

What is the main tx for Tension-Type HA (TTH)? What other tx is also recommended?

Study These Flashcards
A

NSAIDs

- Also, tx underlying condition (jaw/mouth, sleep study, less stress)

23
Q

Which type of HA is the most DEBILITATING HA?

24
Q

Which type of HA is more common in males than females?

25
Which type of HA involves excruciating unilateral sharp, boring periorbital HA lasting 15 min. to 2 hours?
Cluster HA
26
What other sxs (besides pain in the head) are seen with Cluster HA?
Autonomic sxs
27
What is the timeline for each type of HA?
- Cluster = 15 min. to 2 hour - Migraine = 4-72 hours - Tension-Type = 30 min. to 7 days
28
What is recommended for acute tx of Cluster HA (2)?
- 100 O2 at 12+ L/min | - Sumatriptan given SC
29
What is recommended for preventative tx of Cluster HA?
Verapamil (CCB)
30
What type of HA involves 15+ days/month for 3+ months; moderate pain on sides/top of head?
Chronic Daily HA
31
What type of HA involves continuous, fluctuating pain on same side of face/head lasting minutes/days?
Hemicrania Continua
32
What is the recommended tx for Hemicrania Continua?
Indomethacin
33
What type of HA involves abrupt onset & unremitting throbbing/tightening on both sides of head?
New Daily Persistent HA (NDPH)
34
What is the recommended tx for New Daily Persistent HA (NDPH)?
Muscle relaxants
35
What type of HA involves “ice pick” or “jabs and jolts”?
Primary Stabbing HA
36
What type of HA involves sudden onset intense pain that strikes without warning lasting 1-10 seconds; often around eye?
Primary Stabbing HA
37
What is the recommended tx for Primary Stabbing HA?
Indomethacin
38
What type of HA involves triggered by cough, sneeze, intense activity; lasts minutes to days?
Primary Exertional HA
39
What type of HA is also called the “alarm-clock” HA? What age group is it often seen?
Hypnic HA | - 50+ years (occurs late in life)
40
What is the recommended dx test for Hypnic HA?
MRI
41
What is the recommended tx for Hypnic HA? What med can also be considered?
Caffeine at night | - Indomethacin
42
What type of HA occurs during sleep and awakens patient; throbbing on both sides of head?
Hypnic HA
43
What two groups of meds can create increased risk for Medication Overuse HA (MOH)?
- Opioids | - Barbs
44
Secondary HA presenting with sxs worse with cough, exertion, straining, position is indicative of?
Pseudotumor cerebri
45
Secondary HA presenting with sxs worse with steady/worsening + neuro sxs, nighttime awakenings is indicative of?
Brain tumor
46
Secondary HA presenting with “thunderclap HA”, decreased LOC is indicative of?
SAH
47
Secondary HA presenting with age 50+ years, throbbing temporal pain with TTP is indicative of?
Temporal Arteritis
48
What is the tx for Medication Overuse HA (MOH)?
NSAIDs | - ASA and Acetaminophen can make it worse

Clin Med III Disease Key Notes (18 decks)

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