Headache

Question 1

Tension Headaches

Answer 1

Band like pressure
Constant squeezing tightness
Min-7 days
Usually mild to moderate 
Subcategories: infrequent/frequent episodic, chronic 
No NV

Question 2

Migraines

Answer 2

Unilateral, may switch sides
Throbbing, synchronous with pulse
Periodic, cycles of several months and years
4-72 hr
Family history, females 
Migraine with aura or without

Question 3

Cluster

Answer 3

Unilateral, radiating up or down from one eye
Severe, bone crushing
May have been months or years between attacks
5 min-3 hr
Awakens from sleep
Smoking and alcohol may be associated

Question 4

Tension Headaches treatments

Answer 4

Abortive: NSAIDs and Tylenol
Preventive
-tricyclic antidepressants: amitriptyline
-SSRI: fluoxetine
-Antiseizure: topiramate 
-psychotherapy 
-muscle relaxation training

Question 5

Clinical manifestations of migraines

Answer 5

Generalized edema
Irritability
Pallor
NV
Sweating

Question 6

Migraine Drugs

Answer 6

triptans: first line

Question 7

Cluster Drug Therapy

Answer 7

Not as effective

• inhalation of 100% oxygen at 7-9L
• Sumatriptan