Headache Flashcards

1
Q

What the classifications of headache? 2

A

primary

secondary

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2
Q

what are the primary types of headache? 3

A

migraine
tension
cluster

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3
Q

what are the secondary causes of headache? 5

A
trauma
vascular disorder
withdrawal
infection
psychosis
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4
Q

migraine symptoms 6

A
unilateral
visual disturbance
aura
throbbing
N+V
photophobia
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5
Q

how long can a migraine last?

A

4-72 hours

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6
Q

migraine triggers- acronym CHOCOLATE

A
Chocolate 
Hangover
Orgasm
Cheese
Oral contraceptive
Lie-ins
Alcohol
Tumult
Exercise
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7
Q

Migraine treatment 2

A

NSAID

TCA

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8
Q

diagnosing criteria for Migraine - 2 of … and 1 of…

A
2 of:
unilateral
pulsating
moderate to severe pain
aggravated
1 of:
N+V
photophboia and phonophobia
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9
Q

tension headache symptoms - 4

A

bilateral
no pulsating
frontal/occipital
tender scalp

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10
Q

duration of a tension headache

A

30 min - week

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11
Q

where is a tension headache - 2

A

frontal and occipital

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12
Q

treatment of tension headache - 2

A

relieve stress, anti depressnts

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13
Q

where is a cluster headache

A

periorbital

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14
Q

cluster headache symptoms

A

stabbing pain

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15
Q

duration of cluster headache

A

5 min - 3 hours

multiple times a day, can have pain free intervals

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16
Q

treatment for cluster headache - 3

A

steroid injections
ca inhibitor
melatonin

17
Q

where does sub arachnoid hemorrhage occur

A

between pia and arachnoid

18
Q

causes of sub arachnoid hemorrhage - 3

A

trauma
aneurysm
malformation

19
Q

description of sub arachnoid hemorrhage - 2

A

worst headache ever

thunder clap headache

20
Q

symptoms of sub arachnoid hemorrhage - 8

A
sudden
N+V
photophobia
deficit
dizzy
orbital pain
diplopia
increase BP
21
Q

meningitis symptoms - 5

A
N+V
photophobia
sleepiness
confusion
irritability
22
Q

what is temporal arteritis

A

systemic inflammation vasculitis

23
Q

symptoms of temporal arteritis - 5

A
headache
pain in shoulders and hips
fatigue
jaw pain
fever
24
Q

what tests to look for in bloods for temporal arteritis - 3

A

ESR, CRP

FBC- anemia

25
treatment of temporal arteritis
corticosteriods
26
causes of ICP - 4
trauma hydrocephalus intercranial tumour encephalopathy odema
27
signs of ICP - 4
headache vomiting diplopia bradycardia
28
red flags of headaches - 4
``` sudden fever, unwell, rash, neck stiffness neurological deficit headache within 90 days of injury jaw, visual, +50 ```
29
sudden headache red flag of..?
SAH, ICH
30
fever, unwell, rash, neck stiffness red flag of..?
meng
31
neurological deficit red flag of...? 2
stroke | glaucoma
32
headache within 90 days of injury red flag of...?
subdural
33
jaw, visial, +50 red flag of...?
temporal arteritis
34
what are the 3 associations between medications and headaches?
1. med overuse 2. rebound headache 3. TCA SE
35
rare but serious causes of headache - 4
co-poisioning, cocaine, cervio-genic, SUNCT
36
2 methods to assess disability impact of headache
HIT6 | MIDAS