Headaches theory + case

Link up with headache case ⇒ https://www.notion.so/mbbstree/Headache-06faaa65ebbc4cb0ae4ebf5cfd0bd2ed ........................................... Nottionify from the headache tutes and the ten protocol ————————————- Notes wrote down during lecture ⇒

headaches

migraine more than tension type

TCa common tpirate common a= reduced apettie good for obesity proponolol common ARB => candisartan gapapentine pregabalin venlafaxine sodium valproate = mood anti epiltpetic flunerazine in sri lanka used as much

comorbidities ike lsoign wieght and anxiety and mood stabaliser etc

prophylaxis and abortive treatment

Patient headache diary

panadene => paraetmaol and codeine

opiods overuse => rebound headaches

triggers => wine, chocolate, cheese, wine, food products, noise, light, tired, exercise, excess sleep, ocp, drugs, monochromagic light before headache

TIA vs migraine heacahe vs stroke vs migraine with aura

ocp =increased risk of stroke if on ocp if migraine with aura

seizure mimic migraine is a mimic migraine instead of epilepsy or epilspey instead of migraine

TIA, stroke, epilepsy,

cortical => aura and brain stem activation > N and v and pain => trigeminal

anti CGRP recpetors drugs used as prophyactics

Headache and facial pain two different cases see and do and see and do

trptan make sure they understand that drug needs to be taken in a daily basis for effect

withdrawn and then rebound headache and then chronic migraine goes off

They cause head and neck muscle spams and stuffness and abck of head due to peripheral muscle stimulation

abortive treatment must be started 20 mins onset of headache

seen abortive treatment soon as start f headache and sometimes during the aura Triptans contraindiactaion serotinin syndrone