Podcast
Questions and Answers
What is an essential component of the diagnostic evaluation for headaches?
What is an essential component of the diagnostic evaluation for headaches?
- Physical assessment of the extremities
- Complete respiratory examination
- Detailed history (correct)
- Complete cardiovascular examination
How may headaches manifest in the same person over a lifetime?
How may headaches manifest in the same person over a lifetime?
- Differently (correct)
- More frequently
- With increasing severity
- Consistently
What is the focus of the health history in assessing headaches?
What is the focus of the health history in assessing headaches?
- Assessing the abdominal pain
- Assessing the joint pain
- Assessing the headache itself (correct)
- Assessing the lower back pain
What can daily use of over-the-counter or prescribed pain medications for 8 to 10 days out of a month lead to?
What can daily use of over-the-counter or prescribed pain medications for 8 to 10 days out of a month lead to?
What type of medications can provoke headaches?
What type of medications can provoke headaches?
What can emotional factors do in precipitating headaches?
What can emotional factors do in precipitating headaches?
What does the medication history provide insight into?
What does the medication history provide insight into?
What are some categories of medications that can provoke headaches?
What are some categories of medications that can provoke headaches?
What is an essential component of the patient database in assessing headaches?
What is an essential component of the patient database in assessing headaches?
What should be covered in the health history in assessing headaches?
What should be covered in the health history in assessing headaches?
What is the goal of nursing management for migraine and other types of headaches?
What is the goal of nursing management for migraine and other types of headaches?
In which type of patients is the abortive approach best used?
In which type of patients is the abortive approach best used?
What is the first priority in the medical management of migraine and other types of headaches?
What is the first priority in the medical management of migraine and other types of headaches?
What is an example of nonpharmacologic treatment for migraine and tension headaches?
What is an example of nonpharmacologic treatment for migraine and tension headaches?
What is a symptomatic pain relief measure for tension headaches?
What is a symptomatic pain relief measure for tension headaches?
What is an example of a noninvasive neuromodulation device that may provide relief for migraine?
What is an example of a noninvasive neuromodulation device that may provide relief for migraine?
What is the medical management for an acute attack of cluster headaches?
What is the medical management for an acute attack of cluster headaches?
What is the medical management of cranial arteritis?
What is the medical management of cranial arteritis?
What is an important nonpharmacologic therapy for the patient with tension headaches?
What is an important nonpharmacologic therapy for the patient with tension headaches?
What is important for patient education about self-care for migraines?
What is important for patient education about self-care for migraines?
What is an important factor in migraine headaches, including sleep patterns, stress levels, recreational interests, and family stressors?
What is an important factor in migraine headaches, including sleep patterns, stress levels, recreational interests, and family stressors?
What may have a direct relationship with headaches, and can be uncovered through careful questioning?
What may have a direct relationship with headaches, and can be uncovered through careful questioning?
What type of testing is often not helpful in investigating headaches, but may be used in patients with abnormalities to detect underlying causes?
What type of testing is often not helpful in investigating headaches, but may be used in patients with abnormalities to detect underlying causes?
What may reveal sustained muscle contractions related to headaches?
What may reveal sustained muscle contractions related to headaches?
What is a key approach in the preventive medical management of migraines?
What is a key approach in the preventive medical management of migraines?
What may precipitate cluster headaches, and eliminating it can help prevent the headaches?
What may precipitate cluster headaches, and eliminating it can help prevent the headaches?
What is involved in the medical management of migraine headaches?
What is involved in the medical management of migraine headaches?
What type of agents are thought to block the physiologic events leading to an attack in preventive medical management of migraines?
What type of agents are thought to block the physiologic events leading to an attack in preventive medical management of migraines?
What is a symptomatic pain relief measure for tension headaches?
What is a symptomatic pain relief measure for tension headaches?
What is a nonpharmacologic therapy for the patient with tension headaches?
What is a nonpharmacologic therapy for the patient with tension headaches?
What is a major factor in migraine headaches according to the text?
What is a major factor in migraine headaches according to the text?
What can aid in the diagnosis of headache disorders?
What can aid in the diagnosis of headache disorders?
What type of testing is often not helpful in investigating headaches?
What type of testing is often not helpful in investigating headaches?
What is involved in the preventive medical management of migraines?
What is involved in the preventive medical management of migraines?
What may help prevent cluster headaches according to the text?
What may help prevent cluster headaches according to the text?
What type of testing may reveal sustained muscle contractions?
What type of testing may reveal sustained muscle contractions?
What is a relevant factor in assessing occupational history?
What is a relevant factor in assessing occupational history?
What may have a direct relationship with headaches according to the text?
What may have a direct relationship with headaches according to the text?
What is involved in the treatment regimens for headache disorders?
What is involved in the treatment regimens for headache disorders?
What law provides employees with access to material safety data sheets for substances they come in contact with in the workplace?
What law provides employees with access to material safety data sheets for substances they come in contact with in the workplace?
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Study Notes
Headache Disorders: Assessment and Diagnosis
- Stress is a major factor in migraine headaches, and various lifestyle factors are relevant, including sleep patterns, stress levels, recreational interests, and family stressors.
- There is a strong familial tendency for headache disorders, and a positive family history can aid in diagnosis.
- Exposure to toxic substances may have a direct relationship with headaches, and careful questioning can uncover relevant chemical exposures.
- Employees have access to material safety data sheets for substances they come in contact with in the workplace under the Right-to-Know Law.
- Occupational history includes assessing the workplace as a possible source of stress and for a possible ergonomic basis of muscle strain and headache.
- Detailed description of the headache is crucial, including age at onset, frequency, location, duration, type of pain, precipitating factors, and associated symptoms.
- Diagnostic testing is often not helpful in investigating headaches, and in patients with abnormalities, CT scan, cerebral angiography, or MRI scan may be used to detect underlying causes.
- Electromyography (EMG) may reveal sustained muscle contractions, and laboratory tests may include complete blood count, electrolytes, and thyroid hormone levels.
- Prevention involves avoiding specific triggers known to initiate the headache syndrome and daily use of agents thought to block the physiologic events leading to an attack in preventive medical management of migraines.
- Treatment regimens vary, and close monitoring is necessary.
- Alcohol, nitrites, vasodilators, and histamines may precipitate cluster headaches, and their elimination can help prevent the headaches.
- Medical management of migraine headaches involves both abortive (symptomatic) and preventive approaches.
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