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Tension headache - 🧠 ANSWER ✔✔- *Bilateral*, band-like pain
- NSAIDs
- Rebound headaches with frequent analgesic use.
Migraine headache - 🧠 ANSWER ✔✔- *Unilateral*, pulsating discomfort
- Lasts 4-72 hrs
- Photophobia, N/V, and aura
- Treat w/ NSAIDs or triptans
- If frequent, treat w/ BBs, TCAs, CCBs, or botox injections
, Cluster headache - 🧠 ANSWER ✔✔- Severe, *unilateral* HAs lasting 30-90
minutes
- Localized behind the eye
- Often accompanied by ipsilateral lacrimation and rhinorrhea
- Treat w/ *100% oxygen* and sumatriptan
- Prophylactic therapy w/ verapamil
Dementia - 🧠 ANSWER ✔✔- *Gradual* onset of cognitive impairment
- Patient will try hard to perform cognitive test, but fail
- Cholinesterase inhibitor (donepezil) or memantine
- Add vitamin E to above meds
Delirium - 🧠 ANSWER ✔✔- *Acute* cognitive impairment
- Fluctuation in consciousness
- Usually has reversible cause (meds, electrolyte imbalance, intoxication,
etc)
- Draw labs to determine cause and try underlying pathology
- If no cause, MRI/CT... then LP last