Headache Flashcards
1
Q
Primary headaches
A
Migraine
Tension-type headache
Cluster headache
2
Q
Features of migraines
A
Positive family history Unilateral pulsing headache Aggravated by physical activity Associated with nausea, vomiting, photophobia, phonophobia May be associated with aura
3
Q
Ix for migraines
A
Clinical diagnosis
4
Q
Mx for migraines
A
Simple analgesia, ibuprofen, metoclopramide
Triptan for severe - non-pregnant
5
Q
Features of tension-type headaches
A
Tight band headache
Diffuse or posterior aspect of head
No associated migraine or autonomic features
6
Q
Mx of tension-type headache
A
Simple analgesia
7
Q
Features of cluster headaches
A
Stabbing, excruciating headache
Often around orbit
Lasts up to 3 hours, several times a day for several days/weeks then resolves for several weeks/months
8
Q
Mx of cluster headache
A
Sumatriptan
High flow oxygen
9
Q
Secondary headaches
A
Medication overuse
Head trauma
Raised ICP
Infection
10
Q
Red flag symptoms of a headache
A
Worse on lying, coughing or straining Wakes patient up Associated with confusion Vomiting Changes in personality or behaviour
11
Q
Red flag signs of headache
A
Visual field defects Squint Cranial nerve abnormalities Abnormal coordination Gait - UMN or cerebellar signs Papilloedema Bradycardia Cranial bruit
