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12 Cards in this Set
- Front
- Back
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What headaches are most common? What is the cause?
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-primary
-no identified organic cause |
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What are secondary headaches?
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-they are a symptom of some other disorder
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What is an odd study one would do for headaches?
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-angiography
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In migraines which sex gets them more and at what time? What are the symptoms of a migraine?
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-women and premenstrually
-see throbbing, recurrent pain UNILATERALLY. Assoc. with noise and light sensitivity, nuasea/ vomiting and various autonimic features, also experience neck discomfort |
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What is a migraine with an aura?
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-a visual disturbance will precede a migraine..note can have aura without subsequent migraine
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What can cause migraines?
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-migraine generator in brainstem, alteration in cerebral BF, trigeminal activation, ion channel abnormalities, brain hyperexcitability
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What would you treat migraines with first? (ie abortive therapy)
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-triptans, then hydrocodone (ie symptomatic therapy)
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How would a pt. present with a chronic daily headache?
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-dull and less localized, due to OVERUSE OF PAIN MEDS aka rebound
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How would a pt. present with a cluster headache? What sex is this more common in? What is special about this headache?
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-periodic (can have several attacks a day) attack of SEVERE pain localized ot the eye, temple, forehead or cheek. Will wake pt. in sleep.
-more commin in men -you are hyperactive! instead of going in a dark quiet room, walking around and doing stuff make it better. Alcohol and smoking can trigger it also |
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How would a pt. present with a tensiontype headache?
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-squeezing band like headache, like migraine BUT less disabling than migraine
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How would a pt. present with temporal arteritis? What can happen if it is left untreated? What can a diagnostic test show? How is dx confirmed? Tx?
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-painful inflammation of the cranial arteries (aortic arch and its brnches). Usually headache in temporal region, so see tenderness in temporal artery
-can go blind! -will see an elevated sdeimentation rate (bet. 60-120) -confirmed with a temporal arter biopsy -STEROID THERAPY ASAP |
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How would a pt. present with benign intracranial hypertension? Who usually has it? What has it been assoc with? How to evaluate? What is special about this?
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-headache GETS WORSE when you LAY DOWN, can also see papilledema
-seen in obese women of childbearing age, but also seen with hypervitaminosis A, steroid use, and in individuals on long term tetracycline (oral contraceptives) -MRI, if no MRI evidence perform lumbar puncture (measure opening pressure), do complete opthalmological evaluation with follow up -ONLY headache where you would do a SPINAL TAP |
