Who Am I? | Make It Stop! | An Ounce of Prevention | All About Migraines | Don't Miss this Mimicry |
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Medication Overuse Headache
Occurs on 15 or more days per month for more than three months which has developed as a consequence of overuse of acute headache medications
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NSAIDs
This class of medications is the first line treatment of tension-type headaches
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Topiramate
This first line treatment for prevention of migraine headaches has been known to cause paresthesias, weight loss and somnolence
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Caffeine
This common "drug" can treat and trigger a migraine headache.
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RED FLAG
A new headache after the age of 50 would be consider this type of flag
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Migraine
This type is the most common headache patients will seek medical care for and is often debilitating
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Stop the Offending Agent
This is the main "treatment" for medication overuse headaches
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6 months
After this many months of treatment for migraine prophylaxis, you will expect up to a 90% reduction of migraines
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Women
This gender is more likely to have migraines
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Idiopathic Intracranial Hypertension
Most commonly seen in obese women aged 20-40 and associated with OCPs, tetracyclines, Vitamin A and accutane usage
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Tension - Type Headaches
Being the most common type of headache in the general population, it is generally not seen in the clinic due to its mild nature
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Subcutaneous Sumatriptan
In addition to high-flow oxygen at 100% concentration delivered at 6-12L/min, this medication should also be administered to abort a cluster headache (must include the route)
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Frovatriptan
Menstrual migraines can be treated with this triptan for intermittent prophylaxis of migraines.
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Two
If migraines occur more than this number of times per week, you should consider giving the patient a prophylactic medicine for their migraines
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Temporal or Giant Cell Arteritis
You would be concerned for this in a patient who is older than 50 years of age with jaw claudication, temporal pain, and vertical diplopia
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Cluster Headache
Also known as "suicide headaches", patients may be hyperactive due to the pain of these headaches
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Estrogen
Women who have auras with their migraines should avoid contraceptives that contain this hormone
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Verapamil
This calcium channel blocker is first line for prophylaxis of cluster headaches
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Allodynia
This is the term that describes normal non-painful stimuli causing pain that can happen with migraines
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Brudzinzki's Sign
When a patient has meningitis, they sometimes present with this sign where the patient will have spontaneous flexion of the hips when the neck is flexed
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SUNA and SUNCT
These 2 rare headache syndromes are short-lasting unilateral neuralgia-form headaches both with autonomic symptoms but one has conjunctival tearing (abbreviation is good for the two)
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Prednisone
You can use this medication to help with withdrawal symptoms of medication overuse headache
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Rimegepant also known as Nurtec
This is the only calcitonin gene related peptide (CGRP) agent that has an indication for both treatment and prevention of migraines
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PIN
Photophobia Incapacitation Nausea
This acronym is a 3 question screening for migraines that can have a positive predictive value of up to 93% if the answer to all three questions is yes.
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25%
This is the percentage of patients who have an acute ischemic stroke that have headaches as part of their presentation
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List 3 of the Red Flag Signs that are listed in the module that would prompt you to get neuroimaging
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