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17 Cards in this Set
- Front
- Back
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aspirin, NSAIDs, sumatriptans, ergot alkaloids and opiates may be used as abortive therapy
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migraine
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associated with nausea/vomiting, photophobia, phonophobia
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migraine
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beta-blockers, CCBs, ergots, anti-depressants, and depakote are used for prophylaxis
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migraine
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classic sx include unilateral frontotemporal cephalgia with aura and visual sx (eg. scintillating scotoma)
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migraine
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characterized by periods of multiple HA's of same character alternating with sx-free intervals
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cluster
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associated with ipsilateral tearing, conjunctival injection, Horner's syndrome and rhinorrhea
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cluster
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HA described as pulsatile or throbbing
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migraine
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HA may be precipitated by hormonal factors (eg. OCP's or menses), emotional or metabolic stress
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migraine
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history of allergies
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sinus
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localized tenderness over sinuses
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sinus
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most common type of HA in adults
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tension
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pathophysiology may relate to the effect of serotonin on cephalic blood vessels
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migraine
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pts often have FH of HA
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migraine
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sx are often eradicated by 100% O2 facemask
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cluster
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unilateral boring periorbital HA worst in the temporo-orbital region
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cluster
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vise-like tightening bilateral pain assoc with photophobia, phonophobia, neck tightness
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tension
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what are the 7 red flags of a HA?
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1. sudden onset severe HA
2. HA beginning after straining, valsalva, sexual activity, or awakens pt from sleep 3. HA is persistent and worsening over a period of weeks or months 4. HA assoc with focal neuro findings or a change in MS 5. HA assoc with meningeal signs (eg. nuchal rigidity, Brudzinski's or Kernig's sign) 6. HA associate with fever 7. HA in a pt who never had HA before |
