Headache in afya

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''Migraine''
recurrent severe unilateral throbbing
nausea, aura, photosensitivity
avoid usual activity of daily living - often go to bed
may be associated with period

''Tension''
recurrent not disabling bilateral, tight band
doesn't stop ADL

''Cluster''
episode lasts 1/4-2hrs, 1-2x/day for 4-12/52
intense pain around one eye (always same) redness, lacrimation, lid swelling
restlessness
men, smokers

''Temporal arteritis''
  >60yrs
onset over <1/12 unilateral headache
jaw claudication
tender palpable temporal artery, raised ESR

''Medication overuse''
headache >15/7/mth
starts / worsens while taking medication esp opioids or triptans
?psych morbidity

''Other''
''acute single episode''
meningitis / encephalitis / sinusitis / tropical disease eg malaria
SAH, head injury
acute glaucoma (closed angle)
''Chronic''
raised ICP
psychological
Pagets

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