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10 Cards in this Set
- Front
- Back
What are the various etiologies of a chronic daily headache?
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Migraine, medication overuse, tension headache, cluster headache, hemicrania, SUNCT
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What are the temporal considerations of a chronic daily headache?
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greater than 4 hours in duration, more than 15 days per month, more than 3 months, without organic cause.
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What headache type is suggested by constant moderate, band-like pressure around the forehead, radiating down neck, unaffected by activity? How is this treated?
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tension headache, treated with APAP or NSAIDs, which may be combined with caffeine if refractory
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What headache type is suggested by unilateral throbbing pain, made better by stillness and darkness, preceded by aura?
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Migraine
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What are some modifiable risk factors for chronic migraines?
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abortive medication overuse, obesity, depression, smoking, excess caffeine, sleep disorders
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What is the appropriated preventive therapy for tension headaches?
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TCA, amytriptiline or nortryptiline, tapered from 10mg up by 10mg. Alternatively, SNRIs work well. Relaxation and CBT should be attempted.
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Does botulinum toxin work for Tension headaches?
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No
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What are some features of chronic migraine?
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1) A headache for more than 15 days per month for three months, 2) has had 5 migraines without aura, 3) the headache is unilateral, pulsating, greater than 4/10 pain, aggravated by activity and 4) associated with n/v and photo/phonophobia, and 5) successfully treated with a triptan
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What does SUNCT stand for?
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Short-lasting, unilateral, neuralgiform headache with conjuntival injection and tearing.
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What type of headache is characterized by severe unilateral pain, accompanied by ipsilateral autonomic symptoms, and occuring several times per day followed by complete remission?
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Cluster Headaches
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