Headaches

Question 1

S/s and treatment of tension headaches

Answer 1

S/s: tightness, generalized, typically at the back of the head, no focal neuro symptoms
Treatment: Tylenol, rest

Question 2

Migraine s/s and treatment

Answer 2

S/s: dilation and excessive pulsation of carotids, 2-3 days in duration, unilateral throbbing, neuro signs,
Tx: avoid triggers, amyriptyline, propanolol, gabapentin
Managment of an acute attack: Dark room, ASA, Imitrex

Question 3

Cluster headache s/s and treatment

Answer 3

Unilateral periorbital pain for a few hours to weeks, usually at night, ipsilateral nasal congestion, rhinorrhea, eye redness
Treatment is 100% O2 and sumatriptan