Podcast
Questions and Answers
What is the primary difference between chronic and episodic tension headaches?
What is the primary difference between chronic and episodic tension headaches?
Which of the following is NOT a symptom of acute sinusitis?
Which of the following is NOT a symptom of acute sinusitis?
What is the typical duration of a tension-type headache?
What is the typical duration of a tension-type headache?
Which type of headache is characterized by a dull, tightening, pressing pain?
Which type of headache is characterized by a dull, tightening, pressing pain?
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A patient who uses headache medication more than twice a week for three months or longer may be experiencing what?
A patient who uses headache medication more than twice a week for three months or longer may be experiencing what?
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Which of the following is TRUE about aura in relation to migraine headaches?
Which of the following is TRUE about aura in relation to migraine headaches?
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When is caffeine use considered harmful in the treatment of headaches?
When is caffeine use considered harmful in the treatment of headaches?
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What is a common non-headache symptom associated with a sinus headache?
What is a common non-headache symptom associated with a sinus headache?
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What is the recommended limit for caffeine intake in headache management?
What is the recommended limit for caffeine intake in headache management?
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Which medication should generally be recognized as the agent of choice for managing mild-to-moderate pain in the geriatric population?
Which medication should generally be recognized as the agent of choice for managing mild-to-moderate pain in the geriatric population?
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When should a patient seek medical attention for a headache?
When should a patient seek medical attention for a headache?
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Which medication is noted to have a longer duration of action and is dosed every 8-12 hours?
Which medication is noted to have a longer duration of action and is dosed every 8-12 hours?
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What should be avoided in children and teenagers recovering from chickenpox to decrease the risk of Reye's syndrome?
What should be avoided in children and teenagers recovering from chickenpox to decrease the risk of Reye's syndrome?
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Flashcards
Caffeine Intake Limit
Caffeine Intake Limit
Limit caffeine to 2 days/week for headache management.
Aspirin Effectiveness
Aspirin Effectiveness
Aspirin is effective for pain and better for inflammation.
Acetaminophen Safety
Acetaminophen Safety
Acetaminophen is safe for mild-to-moderate pain in older adults.
Reye's Syndrome Risk
Reye's Syndrome Risk
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When to Seek Medical Attention
When to Seek Medical Attention
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Primary Headaches
Primary Headaches
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Secondary Headaches
Secondary Headaches
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Chronic Tension Headaches
Chronic Tension Headaches
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Episodic Tension Headaches
Episodic Tension Headaches
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Medication-Overuse Headache
Medication-Overuse Headache
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Acute Sinusitis Symptoms
Acute Sinusitis Symptoms
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Tension-Type Headache
Tension-Type Headache
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Caffeine in Headache Treatment
Caffeine in Headache Treatment
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Study Notes
Headache Classification
- Primary headaches are not associated with an underlying illness.
- Examples include tension-type headaches, migraines (with or without aura), and cluster headaches.
- Secondary headaches are caused by an underlying condition.
- Examples include headaches due to head trauma, stroke, infection, or substance withdrawal.
Chronic vs. Episodic Tension Headaches
- Chronic tension headaches occur 15 or more days per month for at least 3 months.
- Episodic tension headaches occur less than 15 days per month.
Medication-Overuse Headache
- A medication-overuse headache can result from using headache medications more than twice per week for 3 months or longer.
- The headache may occur within hours of stopping the medication.
- Relief from the headache may follow when taking the same medication again.
Acute Sinusitis Symptoms
- Facial tenderness/pain
- Nasal congestion
- Nasal discharge (purulent)
- Pressure-like headache
- Symptoms are typically worsened by bending forward or blowing the nose.
Headache Characteristics
| Feature | Tension-Type Headache | Sinus Headache |
|---|---|---|
| Location | Bilateral (both sides of the head) | Face, forehead, periorbital area |
| Nature | Dull, tightening, pressing | Pressure behind the eyes/face |
| Onset | Gradual | Simultaneous with sinus symptoms |
| Duration | 30 minutes to 7 days | Days (resolves with sinusitis symptoms) |
| Non-Headache Symptoms | Scalp tenderness, neck pain, muscle tightness | Nasal congestion, facial pressure, postnasal drip |
Aura and Migraine Headaches
- Aura is not always followed by a migraine headache.
Caffeine Use in Headache Treatment
- Caffeine can be helpful when combined with analgesics (like aspirin or acetaminophen), especially for tension-type headaches and migraines.
- Overuse of caffeine can lead to withdrawal symptoms and medication-overuse headaches.
Medication Effectiveness
- Aspirin and acetaminophen are equally effective for pain, but aspirin might be better for inflammatory pain.
- Ibuprofen and aspirin are equally effective, while ibuprofen may be safer (less gastrointestinal irritation and bleeding).
- Acetaminophen and ibuprofen are equally effective, however acetaminophen lacks anti-inflammatory properties.
- Naproxen is effective but lasts longer (8-12 hours) compared to ibuprofen (4-6 hours).
Statements about Medications
- Children over 12 years old can use naproxen for self-treating headaches.
- Aspirin or other salicylates should not be used in children and teenagers with chickenpox or the flu-like symptoms unless directed by a doctor to prevent Reye's syndrome.
- Acetaminophen is often the preferred choice for managing mild to moderate pain in the elderly.
Follow-Up Recommendations
- For episodic headaches, follow up if the headache persists longer than 10 days or worsens despite treatment.
- For chronic headaches, follow up if the frequency or intensity of the headaches increases or doesn't improve with self-treatment.
When to Seek Medical Attention
- Severe head pain, especially the first or worst headache experienced.
- Headaches lasting more than 10 days.
- High fever or signs of infection.
- Neck stiffness.
- Neurological symptoms (visual problems, seizures etc.)
- Headaches in people with cancer, HIV, or pregnancy.
- Symptoms of migraine without a formal diagnosis.
- History of liver disease or excessive alcohol use.
- Visual changes, scotoma without a headache. (Possible retinal migraine)
- Headaches that worsen when lying down.
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Description
This quiz covers the classification of headaches, differentiating between primary and secondary headaches. It also explores chronic versus episodic tension headaches and medication-overuse headaches, along with acute sinusitis symptoms. Test your knowledge on various headache types and related conditions.
