Migraine Flashcards

1
Q

What is migraine?

A

Common problem, recurrent, incapacitating, unilateral headaches which are usually supraorbital

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2
Q

HPC Migraines

A

Usually supraorbital
Last hours days
Spontaneous remission not uncommon
Nausea, vomiting, photophobia

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3
Q

Cause of migraine?

A

Serotonin release, cerebral artery dilation, increased midbrain grey matter metabolic activity

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4
Q

Precipitating factors for migraine

A
Stress
Alcohol
Ripe banana
Chocolate 
OCP
May have preceding warnings - aura, light, smells
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5
Q

Diagnosis

A

Clinical

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6
Q

Management of migraine

A

Aspirin / paracetamol / NSAID
Lysine acetylsalicylate with metoclopramide in acute attacks
Sumatriptan
Prophylaxis: NSAID, Propranolol, Pizotifen
Botox

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