SGL 3 Objectives

Question 1

What is the difference between primary and secondary headache?

Answer 1

Primary - not caused by another condition

Secondary - symptom of another illness

Question 2

What is the diagnostic criteria that classify a headache as primary, secondary, or both?

Answer 2

If headache occurs after illness = secondary

Headache with no other symptoms = primary

chronic headache following illness - secondary and primary (expample medication overuse headache)

Question 3

List the three main classes of primary headahe and describe their symptomology

Answer 3

Migrane

with aura - somatosensory sxs or visual sxs (CNS)

w/o aura - reccurent attacks up to 3 days

Typically unilateral

Pulsating

Nausea, photophobia, phonobia

Tension

Bilateral

Pressing/tighning feeling

Minutes to days

Episodic and can be chronic

does not worsen w/ physical activity

Trigeminal Autonomic cephalgia (Cluster)

Unilateral; severe (orbital, supraorbial, temporal)

up to 3 hours (recurrent)

Lacrimation, nasal congestion, sweatin, miosi, ptosis, eyelid edema, restleness/agitation

Question 4

List 3-4 major causes of secondary headache.

Answer 4

Vascular disorder of the the Head and neck

Substance use of withdrawl

Infection

Psychiatric disorder

Question 5

Explain why treatment approaches to secondary headaches are intrinsically different from approaches to primary headache

Answer 5

With secondary headaches you want to treat the underlying cause, not just the headache (which is a secondary symptoms)

Question 6

Describe the role of the trigeminal nerve in headache symptomology

Answer 6

Carries pain sensation in the facial area

Question 7

Describe the role of the vascular system in headache symptomology

Answer 7

Carries chemicals that can activate pain receptros and pathways

Question 8

What is the mechanism of action for asprin?

Answer 8

Inhibits Prostaglandins

Inhibit NO

Reduce inflammation

Question 9

What is the mechanism of action for acetominophen?

Answer 9

Not a blood thinner but similar to asprin

Limited anti-inflammatory action

Question 10

What is the mechanism of action for ibuprofen?

Answer 10

anti-inflammatory

fever reducer

Question 11

What is the mechanism of action for targeted inflamatory cytokine inhibitors?

Answer 11

Block inflammatory cytokines which reduces inflammation in the body