Term
| DSM IV criteria for dependence |
|
Definition
| tolerance, withdrawal, desire/inability to cut down, inc doses, significant amount of time searching, interference with social, occupational or recreational activities |
|
|
Term
| Life threatening conditions that present w headache |
|
Definition
Bacterial Meningitis (fever,chills, stiff neck)
Intracranial Hemorrhage (Worst headache of life, HTN, recent trauma)
Brain Tumor (weight loss, abnl neuro exam) |
|
|
Term
|
Definition
5 Headaches:
(at least 2): Unilateral, pulsating, moderate or severe, worse w activity
lasts 4-72 hours
nausea, vomiting OR photophobia, phonophobia must be present |
|
|
Term
|
Definition
At least 10 episodes
2 of the following: bilateral (band like), tightening, mild-moderate, not worse with activity
No Nausea, Vomiting
no photophobia AND phonophobia |
|
|
Term
|
Definition
At least 5 attacks
Severe, unilateral, orbital, periorbital, supraorbital or temporal (15-180 min)
Occurs every other day or 8 times a day
Assoc w (conjuctival injection, lacrimation, nasal congestion, rhinorrhea, forehead and facial sweating, miosis, ptosis, eyelid edema) |
|
|
Term
|
Definition
| As a result of other causes like depression or anxiety. Present like tension headaches |
|
|
Term
| When do you order neuroimaging for a headache |
|
Definition
1) Pt. has migraine w atypical headache patterns or neuro signs
2) pt is at higher risk of significant abnormality
3)result would alter management
Inc likelihood of + findings if: rapidly inc freq, abrupt onset, change in headache pattern, focal neuro signs, worsened by valsalva, following head trauma, new onset in old patient |
|
|
Term
| Acute Rx for Migraines (abortive therapy) |
|
Definition
Catch headache at earliest sign
"Triptans"
ergo alkaloids "tamines", severe side fx (MI)
asprin, butalbital, caffeine (Fiorinal)
aceteminophen, butalbital, caffeine (Esgic, fioricet) |
|
|
Term
| Prophylactic Rx for migraines |
|
Definition
| Beta-blockers, neurostabilizers (Divalproex, topiramate), TCA (Amintriptyline) |
|
|
Term
| When are migraines controlled? |
|
Definition
| Ferew than 2 headaches/week or 8 per month |
|
|
