Term
| Note; see Kaplan Section VI, chapter 3 cards for complete info |
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Definition
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Term
| What is the nerve involved in migraines? |
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Definition
| -The trigeminal nerve conveys the pain to its nucleus in the brain stem |
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Term
| What are the properties of migraines, cluster headaches, and tension headaches? |
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Definition
-Migraines are usually *unilateral, *pulsating, *recurrent, often *familial (2/3), and more common in *women
-Cluster headaches are also always *unilateral, *non-throbbing, closely spaced attacks often at night
-Tension headaches are just normal headaches; *non-pulsating, usually *bilateral, often with sustained muscular contraction
-Cluster are the most intense |
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Term
| What are the different classes of migraine? |
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Definition
-Classic; with aura
-Common; without aura
-Complicated; long lasting (several days) |
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Term
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Definition
-Initial cerebral vasoconstriction
-Not associated with pain |
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Term
| What is it that causes the pain? |
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Definition
-The vasodilation and *sterile vasodilation (from transudation; basically edema)
-Usually only unilateral |
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Term
| What are primary and secondary headaches? |
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Definition
-Primary are the ones just gone over
-Secondary are from injury or underlying illness
-Cranial neuralgias are also another type of headache; change in neurological structure or function of the nerves rather than by excitation of healthy pain receptors |
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Term
| What is the POUNDing mnemonic? |
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Definition
-Pulsating with photophobia and/or phonophobia
-4-72 hOurs in duration
-Unilateral
-Nausia
-Disabling intensity
-Should have at least 4/5 if it is a migraine |
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Term
| What compound is a vasodilator and also responsible for sensing pain in the CNS? |
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Definition
-CGRP (calcitonin gene related protein)
-Produced especially in the trigeminal ganglia |
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