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Therapeutics II > Migraine (Kaakeh) > Flashcards

Flashcards in Migraine (Kaakeh) Deck (115)
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1

What are the primary headaches?

Tension
Vascular (Migraines, cluster, non-migraine vascular)

2

What question should you always ask someone who has a headache before giving NSAIDs?

Did they have any acute or chronic trauma to their head? (want to rule out possible bleeding)

3

Tension headache: bilaterol or unilateral

Bilateral

4

Tension headache: location

forehead, nape of neck

5

Cervical osteoarthritis headache?

Caused from osteorthritis to cervical spine or inflammation to neck muscles

6

Chronic myositis

chronic inflammation of muscle tissue

7

Migraine

Severe, debilitating headache--can have N/V, visual disturbances

8

What is mixed headache syndrome?

Episodes of migraine headache with tension HAs in between

9

Cluster headache: unilateral or bilateral?

Unilateral

10

Cluster headache often accompanied by ____ symptoms

autonomic

11

___ required to terminate most migraine HAs

SLEEP

12

3 proposed causes of migraine headaches

Vasodilatory (dilation of intracranial extracerebral vessels)
Neurological (abnormal neuron firing)
Neurogenic dural inflammation (irritating substances in braine--CGFR, substance P, NO)

13

Migraines: more common in women or men?

Women

14

Migraines: genetic?

Yes--60% predisposition

15

Comorbidities with migraine?

DEPRESSION

16

How many attacks for migraine with aura diagnosis?

2 attacks

17

Migraine with aura must have __ of the following characteristics:
____ onset
____ intensity
Aura lasts __ minutes
HA follows aura within __ min
(Other side effects with aura)
Normal neurologic exam

3 of the following characteristics:
Gradual onset
Mild to severe intensity
Aura lasts 5-60 minutes
HA follows aura within 60 minutes
May have N/V, photophobia, phonophobia

18

___ attacks to be diagnosed with migraine without aura

5

19

Diagnosis for migraine without aura:
2 of these:
(Unilateral/bilateral)
_____
Aggravated by _____
____ Intensity
AND
Any 1 of:
_____
____ and ____

2:
Unilateral
Aggravated by physical activity
Moderate to severe intensity
1:
Nausea and vomiting
Photophobia and phonophobia

20

Phases of migraine attack (4)

1. Prodrome
2. Aura (sometimes)
3. The attack
4. Postdrome

21

What are the symptoms of prodrome?

Fatigue, dizziness

22

What are the symptoms of the attack?

Pain, N/V, sensitivity to light/sound

23

What are the symptoms of postdrome?

Tiredness, residual HA

24

How long does prodrome last?

8-10 hours

25

How long does the migraine attack last?

4-72 hours

26

How long does postrdome last?

25 hours

27

What are the positive symptoms of visual auras?

Photpsia (spots)
Teichopsia (zigzag lines)

28

What are the negative symptoms of visual auras?

Scotomas
Hemiapias (partial blindness)

29

What are sensory auras?

Unilateral tingling/numbness
Hemiparesis (paralysis on one side)
Ophthalmoplegia (eye paralysis)
Dysphasia (Speech problems)
Olfactory hallucinations (smell odd odors)
Vertigo

30

How long do aura symptoms last?

45-60 minutes