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Flashcards in [headache][migraine] Deck (32)
1

[headache][migraine]: how long do visual aura last

15-30 mins

2

[headache][migraine]: what precedes the headache by c.1hr

visual aura

3

[headache][migraine]: how is the headache described

throbbing

4

[headache][migraine]: what is the distribution of the headache

unilateral

5

[headache][migraine]: can the aura and headache present independently

yes

6

[headache][migraine]: allodynia may be present. What is it

all stimuli produce pain

7

[headache][migraine]: what may precede the headache by days (prodrome) (2)

cravings
sleep disturbances

8

[headache][migraine]: how might the pt describe the aura

melting of lines
hemianopia

9

[headache][migraine]: what ocular involvement may there be apart from visual hallucinations

ophthalmoplegia

10

[headache][migraine]: paraesthesia may typically spread from ... to ...

fingers to face

11

[headache][migraine]: if there is no aura what is the minimum number of headaches lasting 4-72hrs required for Dx

5

12

[headache][migraine]: if there is no aura what associations must be present (2)

nausea/vomiting
photo/phonophobia

13

[headache][migraine]: if there is no aura what 3 characteristics must the pt describe about the headache

Worsened by usual activity
unilateral
pulsating

14

[headache][migraine]: what is the mneumonic for remembering potential triggers

Chocolate

15

[headache][migraine]: what does chocolate stand for

Chocolate
hangovers
orgasms
cheese
oral contraceptives
lie-ins
alcohol
tumult
exercise

16

[headache][migraine]: what may be a ∆∆ for the aura

TIA

17

[headache][migraine]: 1st line Mx (2)

ketoprofen
aspirin (dispersible)

18

[headache][migraine]: When are triptans CI (4)

IHD
cardiac spasms
uncontrolled BP
SSRIs/lithium
ergot use

19

[headache][migraine]: 2nd line drug Tx

Rizatriptan

20

[headache][migraine]: SE of triptans

MI/arrhythmias

21

[headache][migraine]: 3rd line Tx of migraine

Ergotamine
as the headache starts

22

[headache][migraine]: how does ergotamine work

5HT analog
Contricts cerebral blood vessels

23

[headache][migraine]: non pharmacological Tx?

rebreathing into a paper bag

24

[headache][migraine]: prevention of migraine 1st line drug (3)

Propranolol
Amitriptiline
topiramate

25

[headache][migraine]: what is happening to the cerebral arteries during the aura and headache

Constricting (aura)
dilating (headache)

26

[headache][migraine]: females on the Pill who have migraines are at increased risk of

Stroke
(low dose pill onky)

27

[headache][migraine]: migraine in pregnancy. What drug for prophylaxis

Amitriptiline

28

[headache][migraine]: what is amitriptiline

TCA (tricyclic antidepressant)

29

[headache][migraine]: what is a 'common migraine'

headache without aura

30

[headache][migraine]: ataxia suggests a ... migraine

basilar

31

[headache][migraine]: what are the dangers with ergots that you must emphasise (2)

Vascular disease
gangrene

32

[headache][migraine]: in chronic severe migraine what is the last resort Tx

Botulinum tox A injection (12 weekly)