NUR 330 Headaches
- primary headache
Answer -idiopathic
-not caused by disease or another medical condition -classification includes tension, cluster, and migraine
- secondary headache
Answer caused by a disease or another medical condition
- triggers for migraines
Answer -foods that have amines (cheese, chocolate)
-nitrates (meats and hotdogs) -vinegar -onions -fermented or marinated meats -caffeine -oranges -tomatoes -aspartme -nicotine -ice cram -alcohol -emotional stress -fatigue
- tension headache
Answer -cause not fully understood and believed to be a with neurovascular factors 1 / 2
- Tension clinical manifestations
Answer -bilaterl
-constant -dull pressure -band like headache at base of skull -increased palpable tone in the neck and cervical muscles -may involve sensitivity to sound and light -occurs intermittently
- diagnostics for tension
Answer -history
-physical exam -looking for stiffness and tenderness of the head -EMG may reveal sustained contraction in the neck muscles
- symptomatic drug therapy tension
Answer -mild to moderate pain treat with aspirin, acetaminophen, or NSAID
-can also be combined with sedatives (Butalbital), muscle relaxers (Tizanidine, chlorzoxazone), and tranquilizers (Xanax)
- prophylactic drug therapy tension
Answer tricyclic antidepressants (if bad topiramate, divalproex)
- Migraines
- / 2