Migraines

Question 1

migraine

Answer 1

Episodic neurologic disorder
Headache lasting longer than 4 to 72 hours

Question 2

dx migraine

Answer 2

Two – unilateral head pain
Throbbing pain
Pain worse with activity
Moderate to severe pain

One – N/V
photophobia
Phonophobia

Question 3

s/sx migraine

Answer 3

Aura present
aura not present
Chronic – 15 days/month for three months

Question 4

risk factors for migraines

Answer 4

Family history
Estrogen, progesterone
Increased during menstruation
Decrease during pregnancy, menopause

Question 5

Migraine triggers

Answer 5

fatigue
Oversleeping
Missed Meals
Overexertion
Weather change
Stress
Hormonal changes
Bright light
Strong smell

Question 6

patho of migraines

Answer 6

Not well understood

Change in the neurotransmitter levels in CNS
Blood vessel tone

Question 7

Clinical phases of migraines

Answer 7

premonitory
Migraine aura
Headache
Recovery

Question 8

premonitory phase

Answer 8

1/3 fatigue
Irritability, decreased concentration
Stiff neck
Food cravings

Hours to days before onset

Question 9

migraine aura

Answer 9

Visual, sensory, motor
Last up to one hour

Question 10

headache phase

Answer 10

throbbing
Fatigue
N/V
Dizzy
Hyper sensitivity to touch head

4 to 72 hours

Question 11

recovery phase

Answer 11

Irritability
Fatigue
Depression

Hours to days

Question 12

abortive symptomatic therapy

Answer 12

Mild to moderate without nausea and vomiting

Aspirin, Acetaminophen, NSAIDS

Question 13

preventative therapy

Answer 13

Beta blockers
Tricyclic antidepressant
Anti-epileptic
Estrogen

Question 14

T/F preventative therapy should be initiated when migraines last longer than 12 hours and occur more than four times a month

Answer 14

True

Question 15

preventive therapy goals

Answer 15

Decrease, attack, frequency, severity, duration

Improve responsiveness to treatment of a cute attacks

Improve function and decrease disability

prevent progression of episodic to chronic migraines