headache Flashcards Preview

DIT topics > headache > Flashcards

Flashcards in headache Deck (37):
1

made worse by foods containing tyramine (rotting foods, cheese, meat, wine, chocolate, caffeine)

migraine

2

made worse by foods containing tyramine (rotting foods, cheese, meat, wine)

migraine

3

obese female with papilledema (↑ICP)

pseudotumor cerebri or hydrocephalus

4

jaw muscle pain when chewing

temporal arteritis (vasculitis - jaw claudication)

5

periorbital pain with ptosis and miosis

cluster

6

photophobia and/or phonophobia

migraine

7

bilateral frontal/occipital pressure

tension

8

using topical retinoic acid for acne

pseudotumor cerebri

9

lacrimation and/or rhinorrhea

cluster

10

elevated ESR

temporal arteritis

11

headache + extraocular muscle palsies

cavernous sinus thrombosis (CN 3, 4,V1/V2,6)

12

scintillating scatomata (visual aura) prior to headache

migraine with aura

13

headache before or after orgasm

postcoital cephalogia

14

responds to 100% O2

cluster

15

trauma to head → headache begins days after event (low pressure veins), persists over a week (doesn't go away)

subdural hematoma

16

severe headache + fever or neck stiffness

meningitis

17

constant headache (all day, night), progressively worsening and/or focal neuro deficits + seizures

brain tumor

18

periorbital pain with partial horner's (ptosis and miosis)

cluster

19

ipsilateral eye redness, lacrimation, rhinorrhea, and/or nasal congestion

cluster

20

scintillating scatomata (visual aura) prior to headache

migraine with aura (↑ risk of stroke)

21

headache common in young men who smoke

cluster

22

UNILATERAL, piercing, constant pain in retroperitoneal or periorbital area

cluster

23

headache is daily (at same time) lasts for 15 min - 3 hrs for weeks → stops for months → returns

cluster

24

at least 2 of:
unilateral
throbbing, pulsating
mod-severe (prohibits daily activities)
aggravated by activity (stairs)
at least 1 of:
N and/or V
photophobia and/or phonobobia

migraine

25

is an aura a diagnostic criteria for migraine?

no.
aura (scintillating scotomata - light around periphery of visual field or smell)

26

headaches more common in women

tension (by small amount)
migraine

27

BILATERAL, constant in frontal or occipital region
can feel like a band squeezing the head
NO: photophobia, phonophobia, aura, N/V, focal neuro deficits

tension

28

how long are migraines?

4 hrs - 3 days

29

how long are tension headaches?

4-6 hrs - up to 1 week

30

at least 2 of:
unilateral
throbbing, PULSATING
mod-severe (prohibits daily activities)
aggravated by activity (stairs)
at least 1 of:
N and/or V
photophobia and/or phonobobia

migraine

31

abortive treatment for migraine

NSAIDs: ibuprofen, naproxen
-triptans (sooner used - during aura or prodrome, better work)

32

abortive treatment for cluster

fastest effect: inhaled 100% O2
-triptan
NSAIDs
acetaminophen

33

treatment for tension

NSAIDs
acetaminophen

34

MOA of -triptan

5HT agonist:
vasoconstriction
inhibit neurotransmission in CN 5

35

contraindications of -triptans

CAD - constrict coronary vessels
prinzmetal angina (vasospasms of coronary arteries)
pregnancy - constrict placenta

36

MOA of -triptan

5HT 1B/1D R agonist:
vasoconstriction
inhibit neurotransmission in CN 5

37

treatment of pseudotumor cerebri

acetazolamide: use
pseudotumor cerebri
glaucoma
altitude sickness

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