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27 Cards in this Set
- Front
- Back
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Not associated with other diseases, likely complex interplay of genetic, developmental, and environmental risk factors
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primary HA
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associated with or caused by other conditions generally will not resolve until the specific cause is diagnosed and addressed
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secondary headache
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primary or secondary headaches?
migraine, tension-type, cluster |
primary
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primary or secondary headache?
tumor, intracranial bleeding, increased intracranial pressure, medications |
secondary
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What is SNOOP?
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headache red flags
systemic symptoms neurologic signs onset sudden onset age >50 or <5 Previous headache history (new onset concerning) |
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Lasts 30min to 7 days with 2 or more of following characteristics:
pressing, nonpulsatile pain mild to moderate intensity usually bilateral location females more than males |
Tension type headache
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lasts 4-72 hours with 2 or more of the following:
usually unilateral location, though occasionally bilateral pulsating quality, moderate to severe in intensity aggravation by normal activity, such as walking, >1 of these: nausea, vomiting, photophobia, phonophobia Females more than males Family history |
Migraine without aura
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focal dysfunction of cerebral cortex or brain stem causes >1 aura symptom developing over 4 min, or >2 sx occurs in succession.
no aura symptom should last >1h |
migraine with aura
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tendency of headache to occur daily in groups or clusters.
usually occurs at characteristic times of year often located behind 1 eye with steady, intense "hot poker" sensation male more than females |
cluster headache
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HA described as pressing, nonpulsatile pain
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Tension
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HA usually bilateral location
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Tension
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Pulsating quality to pain
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migraine or cluster
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described as hot poker feeling in one eye
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cluster
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nasal stuffiness with conjunctival injection
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cluster
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unilateral location
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migraine or cluster
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MRI, CT w/o contrast, or CT with contrast?
acute hemorrhage |
CT without contrast
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MRI, CT w/o contrast, or CT with contrast?
Edema, shift |
CT without contrast
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MRI, CT w/o contrast, or CT with contrast?
Tumor, abscess |
CT w contrast
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MRI, CT w/o contrast, or CT with contrast?
Tumor, hemorrhage, carcinomatous meningitis, AV malformation, posterior fossa lesions |
MRI
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new onset isolated seizure is concerning for:
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brain tumor
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what contraceptive should be avoided for women with migraines with aura?
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Combined estrogen-progestin oral contraceptive
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What is the EBP recommendation for use of prophylactic migraine treatment:
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propranolol
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What is the best abortive migraine therapy for woman with angina:
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Ibuprofen
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What EBP recommendations - nutraceutical options for prevention of recurrent migraines include:
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butterbur, riboflaven, feverfew, magnesium
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What is the initial test to support diagnosis of giant cell temporitis?
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SED rate - will be markedly elevated >100
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What is treatment plan for Giant cell Arteritis?
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long term systemic corticosteroid therapy (6-8 months) Consults
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What is the most serious complication of giant cell arteritis?
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blindness
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