Term
| what physical exam finding is indicative a headache that is not benign and could be associated with sinus infection or something more serious? |
|
Definition
|
|
Term
| most headaches are diagnosed on what? |
|
Definition
| clinical grounds, history/description |
|
|
Term
| Which imaging technique is preferred for headaches? |
|
Definition
|
|
Term
| What is the POUND pneumonic for migraine headaches? |
|
Definition
Pulsitile
One day 4-72 hours
Unilateral
Nausea/Vomiting
Debilitating |
|
|
Term
| What is the pneumonic LEARNIT for Migraines? |
|
Definition
Location
Exacerbations
Alleviations
Radiation
Nature
Intensity
Timing |
|
|
Term
| Migraines usually begin before what age and 50% before what age? |
|
Definition
| usually before 50, 50% before age 20 |
|
|
Term
| 70% of migraine patients have what epidemiology? |
|
Definition
| genetic link with a first-degree relative suffering from migraines |
|
|
Term
| What are some typical presentations of migraines? (6) |
|
Definition
1) unilateral
2) pulsating
3) inhibits/prevents daily activities
4) routine activities aggravate
5) nausea w/ or without vomiting
6) sound/light sensitivity |
|
|
Term
| What could be a significant food-related trigger? |
|
Definition
|
|
Term
| What is a contraindication for triptans? |
|
Definition
| heart/vessel disease due to vasoconstriction |
|
|
Term
| What is the gold standard beta-blocker for migraine therapy? |
|
Definition
|
|
Term
| What meds should you use for premenstral headaches? |
|
Definition
|
|
Term
| pain characteristics with tension-type headaches? (4) |
|
Definition
1) pressing/tightening-bandlike
2) bilateral
3) mild-moderate
4) no aggravation with exercise |
|
|
Term
| What is the most common type of chronic headaches? |
|
Definition
| chronic tension-type headache (50%) |
|
|
Term
| rebound headaches are more common with people who have what type of headche? |
|
Definition
|
|
Term
| rebound headaches are more common with people who have what type of headche? |
|
Definition
|
|
Term
| What is the most common pain associated with cluster headaches? |
|
Definition
|
|
Term
| What physical findings are found with a high incidence in cluster headaches? |
|
Definition
| lacrimination, nasal congestion (ipsilateral), ipsilateral ptosis |
|
|
Term
| What do you use for acute cluster headache attacks? |
|
Definition
|
|
Term
| What med is effective in 90% of cluster headache cases? |
|
Definition
|
|
Term
| What is the drug of choice to prevent cluster headaches? |
|
Definition
|
|
Term
| What is the most common symptom of temporal arteritis? |
|
Definition
|
|
Term
| What test is helpful in diagnosing temporal arteritis? |
|
Definition
|
|
Term
| What are most cases of trigeminal neuralgia caused by and from what structure? |
|
Definition
| compression of trigeminal nerve from the superior cerebellar artery |
|
|
Term
| headaches from brain tumors usually mimic what type of headache? |
|
Definition
|
|
Term
| What headaches are common with HTN? |
|
Definition
| bioccipital throbbing headaches |
|
|
