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Clinical Medicine Tension Headaches Month 2 Week 4 T3
Clinical Medicine Tension Headaches Month 2 Week 4 T3
4
Medical
Graduate
10/22/2018

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Term
Tension Headache
Definition
• Often described as band-like pressure, soreness, tightness, weight on the head
• Have at least 2 of the
following:
- Pressing/tightening (non-
pulsating quality)
- Mild to moderate severity
- Bilateral
- No aggravation with physical
activity
• No nausea or vomiting
(anorexia may occur)
• Either photophobia or
phonophobia may be present but not both
Term
Tension Headache - IHS Criteria
Definition
-5 attacks lasting 4–72 hours (30 minutes–7 days), frequency <15 days per month
-2 of the following
Pressing/tightening quality
Mild or moderate severity (may inhibit, but does not prohibit activities)
Bilateral location
No aggravation by walking stairs or similar routine physical activity
-Both of the following
No vomiting
No more than one of the following: nausea, photophobia, or phonophobia
-No evidence on history or examination of disease that might cause headaches
Term
Tension Headache hx
Definition
• During history, pay attention to patient’s life situations and the presence of anxiety
Term
tension headache treatment
Definition
• Aspirin or NSAIDs
- Addition of caffeine may enhance effects
• Muscle relaxants may have some role
• Tricyclic antidepressants are reported to be the most useful by some
• Nonpharmacologic
- Relaxation techniques
- Biofeedback
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