Term
| What is the most common type of HA pt's will present with? |
|
Definition
|
|
Term
| What are drugs for TTH tx? |
|
Definition
For acute attack: analgesics (ibuprofen or acetaminophen)
Amitryptiline nightly for prophylaxis (tricycle antidepressant) |
|
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Term
| What should TTH pt's be taught? |
|
Definition
How to identify and eliminate triggers (HA diary)
It will not kill them or cause blindness (some pt legitimately worry since the pain is so acute) |
|
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Term
| What drugs should be avoided for TTH? |
|
Definition
| opioid medications, they do not relieve the pain and may exacerbate it. |
|
|
Term
| Are sinus HA's recurrent? |
|
Definition
| If pt has this complaint it is probably a TTH |
|
|
Term
| What is the cause of HA for 2% of HA sufferers? |
|
Definition
|
|
Term
| What % of intracranial mass pt's suffer from HA? |
|
Definition
|
|
Term
| What are associated s/sx of intracranial mass HA? |
|
Definition
memory loss
disorientation
visual changes
seizures
numbness or weakness in extremity |
|
|
Term
| What is an idiopathic intracranial HTN HA? |
|
Definition
pseudotumor cerebri (PTC)
Increased resistance in arachnoid villi decrease CSF movement into venous drainage
Pt presents with s/sx of an intracranial mass, but they in fact do not have one |
|
|
Term
| What is the main cause of idiopathic intracranial HTN HA? |
|
Definition
| 90% unknown. Increased resistance in arachnoid villi decreases CSF movement into venous drainage --> diffuse head pain due to increased intracranial pressure |
|
|
Term
| What is the pain of an idiopathic intracranial HTN HA like? |
|
Definition
| pounding HA that increases in intensity |
|
|
Term
| What are ocular SE of idiopathic intracranial HTN HA? |
|
Definition
diplopia (CN VI) in 36%
blurred vision in 68%
papilledema in 90-100% of cases |
|
|
Term
| What are secondary s/sx seen in idiopathic intracranial HTN HA? |
|
Definition
N&V definitely possible
dizziness
pulsatile tinnitus in 58% |
|
|
Term
| What % of idiopathic intracranial HTN HA sufferers present with tinnitus? |
|
Definition
|
|
Term
| What are medications that are often seen in idiopathic intracranial HTN HA sufferers? |
|
Definition
tetracyclines
oral contraceptives
fluoroquinolones
Retin-A
steroids
NSAIDs |
|
|
Term
| What endocrine disorders are seen with idiopathic intracranial HTN HA sufferers? |
|
Definition
pregnancy
hyper or hypo thyroid disorder
Cushing's
Addison's |
|
|
Term
| What vascular dz is commly comorbid with idiopathic intracranial HTN HA? |
|
Definition
| collagen vascular disorders like SLE |
|
|
Term
| What meds are used for idiopathic intracranial HTN HA tx? |
|
Definition
acetazolamide or diamox
Given with a diuretic
prednisone for inflammation |
|
|
Term
| What is known as the 'suicide dz'? |
|
Definition
|
|
Term
| What HA type can be triggered by vibration? |
|
Definition
|
|
Term
| What is used to treat trigeminal neuralgia? |
|
Definition
| carbamazepine (anti-convulsant) |
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