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afya
Cluster Headache
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<<forEachTiddler where 'tiddler.tags.contains(context.inTiddler.title)' sortBy tiddler.title ascending write '"*[["+tiddler.title+"]]\n"'>> <<tiddler AutoRefresh with: force>> Episodic eye pain, lacrimation, nasal stuffiness occuring daily M:F 5:1 and smokers ''Features'' typical pain 1-2x/day lasting 15 mins to 2 hours clusters last 4-12/52 intense pain around one eye ('always' same eye) restless during attack accompained redness, lacrimation lid swelling nasal stuffiness miosis and ptosis in minority ''Mx'' acute - 100% O2, subcut sumatriptan, nasal lidocaine prophylaxis - verapamil, prednisolone consider specialist referral
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