Four types of headaches
Traction (tension), Vascular (migraine), cluster, mixed (vascular and tension), Inflammatory
How do you treat migraines?
1. Avoid triggers
2. Use biofeedback
3. Use abortive therapy...
...
Four types of headaches
Traction (tension), Vascular (migraine), cluster, mixed (vascular and tension), Inflammatory
How do you treat migraines?
1. Avoid triggers
2. Use biofeedback
3. Use abortive therapy... medications
4. Preventative medications
What are some of the ABORTIVE migraine medications?
'Triptans' Trip the switch to abort the headache
Almotriptan (Exert)
Eletriptan (Relpax)
Frovatriptan (Frova
Sumatriptan (Imitrex)
Zolmatriptan (Zomig)
PREVENTATIVE/PROPHYLACTIC migraine medicines
Beta-blockers "olol"
Propranolol
Metoprolol
Timolol
Atenolol
Dizziness is a
sensation of unsteadiness, or feeling of movement inside of the head
Vertigo is
Sensation of the room spinning and obects moving around the head
Differential Diagnosis for dizziness would be
1. Anxiety
2. CNS disorders
3. Systemic disorders
4. Peripheral vestibular disease
Differential diagnosis for dizziness and vertigo
Peripheral Vestibular Disease, systemic disorder, central nervous system disorder
Peripheral Vestibular Disease is
There is a problem located in the labyrinth of the middle ear. Signs and symptoms include dizziness, N/V, diaphoresis, trouble balancing, vertigo, tinnitus, pressure in the ear, intermittent hearing loss, diplopia.
Medications prescribed for vertigo?
Meclizine
Phenergan. Take these medications for a week, then taper slowly.
Diamox can also be used to decrease edema in the labyrinth.
Antiemetics (Compazine and Tigan)
If the patient has systemic disorders, the following symptoms will occur
Lightheadedness, pallor, dyspnea, tachycardia, bounding pulse, weakness,hypotension, blurred vision, headache, diaphoresis.
PARESIS IS
WEAKNESS
Paresthesia is
numbness/tingling, cramping, pain without stimulus that is felt along the nerve pathway
The most common diagnosis associated with paresthesia is
araterial occlusion, arteriosclerosis, nerve entrapment, neuropathy, TIA, Herpes Zoster
Arterial occlusion is a medical emergency and usually requires intervention within
4-6 hours
Nerve entrapment usually is caused by
Edema, RA, infection, prolonged standing or sitting, tight clothing
Neuropathy is usually caused by
MS, DM neuropathy, collagen disease, renal failure, thyroid disease, toxins, nutritional deficiency
Simple partial seizure is explained as
No loss of consciousness, and usually unilateral hemisphere
Complex partial seizure is explained as
Consciousness is impaired, usually bilateral hemisphere
Absense seizure
Sudden onset of interruption of activities, such as a sudden blank stare, brief rotation of the eyes upward, stop eating while food is on the way to the mouth. Usually lasts a few seconds to 30 seconds.
Tonic-clonic seizure
Most frequent generalized seizure. Patient falls to the ground in a tonic state. Rigidity with respiratory inhiition, cyanosis, may bite their tongue or become incontinent with confustion or combativeness after
Myclonic jerks
Brief shock-like contractions, to the face, trunk, or extremities. Mostly during sleep
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