Primary Headaches

Question 1

who do migraines present in

Answer 1

females more than males
20-40y

Question 2

what is the most common recurrent primary headache

Answer 2

migraines

Question 3

triggers of migraines

Answer 3

CHOCOLATE
Chocolate
Hangovers
Orgams
Cheese
Oral contraceptives
Lie ins
Alcohol
Tumolt
Excercise

Question 4

stages of migraiens

Answer 4

1. prodrome - vague behaiour changes
2. Aura (20%) - visual flashes
3. Migraine event 4-72hr

Question 5

sx of migraines

Answer 5

usually unilateral pulsatile mod-severe headache exacerated with motion
with one of:
- photophobia
- phonophobia
- N+V

More than 5 attacks with no underlying cause

Question 6

what migraine can mimic stroke

Answer 6

chemiplegic

Question 7

tx of acute migraine

Answer 7

PO sumatriptan 50-100mg or 900mg aspirin

Question 8

prophylactix tx of migraine

Answer 8

propanolol or amitriptylline

if asthma -> topiramate

Question 9

describe cluster headache

Answer 9

most debilitating
severe
1 sided
around eye or temple

Question 10

who is likely to get cluster headache

Answer 10

male
30-50
smoker

Question 11

how oftendo cluster headaches present

Answer 11

15 min to 3hr in clusters of 4-12 week period

Question 12

sx of cluster headache

Answer 12

peri orbital and retroorbital pain with trigeminal autonomic sx
- conjuctival infection
- miosis
- ptosis
- rhinorrhea and lacrimation

more than 5 attacks with no underlying vause

Question 13

tx of acute cluster headache

Answer 13

sc sumatriptan + 100% high flow oxygen via NBM

Question 14

prophylactix tx of cluster headache

Answer 14

verapamil

Question 15

what is the mc primary headache

Answer 15

tension

Question 16

what is tension headache assocaiated with

Answer 16

stress
physical and physiological

Question 17

sx of tension headache

Answer 17

band like mild pain around temples +/- trapezius radiation for 30 min to days
no eye sx
no aura or motion sicknesst

Question 18

tx of tension headaches

Answer 18

simple analgesia