Nurs 5462 Headache Already Passed

Diagnostics {Ans: Diagnosis is usually made from history • Because of multiple causes of facial pain, patient needs close examination and follow up • If alternative disease is suspected, autoimmune labs may be needed • MRI +/- MRA with attention to posterior fossa may be indicated}• Chronic tension-type headache {Ans: similar, but occurs more than 15 days a month}IHS Criteria for Migraine with Aura {Ans: A At least 2 attacks fulfilling criterion B: B At least 3 of the following characteristics: One or more fully reversible aura symptoms At least 1 aura symptom develops gradually over >4" or 2 or more symptoms occur in succession No single aura symptoms lasts >60" Headache follows aura with a free interval of <60" C No evidence of a secondary cause *MgSO4 [with aura] 1-2 grams IV}Headache Needing Investigation {Ans: • Sudden onset of new, severe headache • Progressively getting worse • After exertion, straining, coughing, or sex-suggests inc ICP-needs CT • With associated symptoms - "worst headache I have ever had" • First headache occurring after the age of 50 years}Management •Pharmacologic {Ans: •Stepped care • Start with least potent agent and advance if no response •Stratified care