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17 Cards in this Set

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aspirin, NSAIDs, sumatriptans, ergot alkaloids and opiates may be used as abortive therapy
migraine
associated with nausea/vomiting, photophobia, phonophobia
migraine
beta-blockers, CCBs, ergots, anti-depressants, and depakote are used for prophylaxis
migraine
classic sx include unilateral frontotemporal cephalgia with aura and visual sx (eg. scintillating scotoma)
migraine
characterized by periods of multiple HA's of same character alternating with sx-free intervals
cluster
associated with ipsilateral tearing, conjunctival injection, Horner's syndrome and rhinorrhea
cluster
HA described as pulsatile or throbbing
migraine
HA may be precipitated by hormonal factors (eg. OCP's or menses), emotional or metabolic stress
migraine
history of allergies
sinus
localized tenderness over sinuses
sinus
most common type of HA in adults
tension
pathophysiology may relate to the effect of serotonin on cephalic blood vessels
migraine
pts often have FH of HA
migraine
sx are often eradicated by 100% O2 facemask
cluster
unilateral boring periorbital HA worst in the temporo-orbital region
cluster
vise-like tightening bilateral pain assoc with photophobia, phonophobia, neck tightness
tension
what are the 7 red flags of a HA?
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