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Flashcards in headache 2 Deck (11)
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1

what are the criteria for a migriane

At least 2 of the following:
1. unilateral
2. throbbing
3. worsened by movement
4. moderate to severe
PLUS 1 of the following:
nausea
vomiting
photophobia and phonophobia

2

what are the aura characteristics

1. positive aura - flickering lights
2. negative aura - loss of vision
3. speech disorders (like news broadcaster)

3

what is specifically not characteristic of aura migraines

weakness

4

what are the key signs for need to refer a headache to a physician

1. systemic symptoms (fever, weightloss, HIV
2. neurologic signs (double vision, hemisensory loss, hemiparesis)
3. onset - worse headache of life or thunderclap (aneurism)
4. old age - new onset after age of 50
5. progression of existing headache disorder/ change in location or frequency

5

what are some environmental triggers of migraines

tobacco
weather changes
strong smells
loud noises
flickering lights

6

what are some foods that can cause migraines

alcohol
caffeine
chocolate
fermented food (aged cheeses)
nitrate foods (processed foods)
sweeteners

7

what are some physiologic triggers of migraines

sleep
fatige
menstruation
missed meals
prolonged exercise
stress

8

why are menstrual migraines common

the low estrogen levels in first few days of cycle triggers a migraine

9

what oral contraceptive puts estrogen in placebo week to alleviate menstrual migraines

Mircette

10

what medications are associated with headaches

1. vasodilator therapy
2. SSRI's
3. niacin

11

what are some common vasodilators that often cause headaches

1. nitroglycerin
2. hydralazine
3. dihydropyridine calcium channel blockers