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35 Cards in this Set
- Front
- Back
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Migraine has _a___attacks of the followng,
2 of __b____(4 things) get 2 things..._c___ |
5
b pulsating unilat mod-severe poor physical activity c - nausea, photo/phonophobia |
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migraine, f or m more
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f
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theories for migraine (3)
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vascular - dilation
neuro - abnormal trig firing neuro dural inflammation |
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Triggers of migraine? (5)
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tyram
tryptophan menstrual bright lights phys activity |
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which headache often preceded by aura?
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migraine
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What is main tx for migraine?
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imitrex
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how doe imitrex work? what does it relief?
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targets serotonin
relieves migraine |
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b-adrenergic
ca-channel blocker tricyc ad's anticonvulsants treat what? |
migraine
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This headached is likely the worst pain outside of neuralgia
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cluster
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cluster M or F?
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M
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Cluster headaches....how many episodes?____
Diagnostics are ____(severity) (Bi/uni) lat, durtation 3 areas 2 of....(7) freq |
5 episodes
severe-very severe unilat 15min-3 hours orb,supraorb,temp ipsi..conj lacrim, nasal congest, lid edema, miosis, ptosis, 4head face sweat, restless .5/day up to 8/day |
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Trigger of cluster headache? (2)
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alcohol, nitroglycerin
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2 neuro associations of cluster headaches
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abnormal hypothal
serotonin changes |
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Tx of clusters?
abortive prophy |
abortive - o2? nasal dihydro, symoptan
proph - prednisone, verapamil, ergot, lithiium |
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Chronic paroxysmal hemicramia
Diag w/ ____episodes, lasting _____, are (uni/bi) lateral distinguished from ____ by having _____and_____ occur in greater than ____/day are prevented by_____ |
20
2-30min unilat clusters, flusihng of 4head/face and aural full/periaiur swell more than 5/day INDOMETACIN |
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what does indometacin treat?
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chronic paroxysmal hemicrania
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Chronic paroxysmal hemicramia has both para and sympathetic involvement. Para is seen by increased______,
sympa is seen by increased _____ |
para - vasoactive precurosur peptide
symp - calcitonin gene-related peptide |
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A specific brain area with implications of chronic paroxysmal hemicramia is
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hypothalamus
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trigger of chronic parox hemicramia?
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rotate/flex head
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2 HA assoc w/ hypothalamus problems
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cluster, chronic parox hemicrami
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Tension headache has 2 kinds...
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episodic and chronic
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Trigger of tension headache?
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stress
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Diagnosis of tension HA has...
___episodes occuring____ lasting_____to____ 2 of the following (uni/bi) lateral severity... is/not agg by phys activity and both of the following... _____ and ______ |
10
<1day 30min-7days bilateral mild to moderate NOT agg by P.A no nausea, no photo/phonophobia |
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Tx of tension headaches can be as simple as_____, or if it's chronic, may need _____
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stress management
trycyclic ADs |
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Rebound HA is from
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too much meds for too long
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A daily headache, that usually awaks the pt, which is worse at the begininng of onset, and is assoc with nausea/anxiety etc.
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Rebound HA
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what HA is often needed to be tretaed by a physiatrist?
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rebound to get meds straight
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3 most common sinuses for HA
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eth, front, max
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whta HA is bad if pt bends over?
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sinus
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4 tx of sinuse HA
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avoid allergy
OTC sinus med ice/heat drain |
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excercise HA, 2 types
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1 - not so bad, too much/improiper excer
2 - bad - tumor/bleeding |
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Diabetic Occ neuropathy is due to injury to
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greater occ nerve
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what type of pain is along the G.O.N. in diabetic occ neuropathy
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jabbing
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3 tx of Diabetc occ neuropathy
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Dm control
gabaentin occ block (maybe not) |
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injury to G.O.N give sthis HA
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diabetic occ neuropathy
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