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Medication Causes of Headache

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141. Headache Examination

Aka: Headache Examination From Related Chapters II. General Neurologic deficit suggests is unlikely without neurologic deficit III. Exam: Key Neurologic Assessment Complete ination ( ) (especially sensation) exam es Coordination and gait (e.g. ) Signs of on Passive neck flexion Causes of Focal neurologic deficits Causes of Non-focal neurologic deficits Intracranial Anoxia IV. Exam: Other key points Vascular examination Temporal artery bruit or pain reaction Visual fields Abnormal eye movements (...) sampling from a Bing search on the term "Headache Examination." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Related Topics in Headache Disorders About FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 6656 interlinked topic pages divided into a tree of 31 specialty books and 728 chapters. Content is with systematic

2018 FP Notebook

142. Headache History

History , Headache Evaluation From Related Chapters II. History: Headache Timing New, Chronic or Acute Chronic Duration of chronic s >4 hours : 6 to 36 hours typical : Constant daily <4 hours Autonomic features : 30 to 90 minutes No autonomic features that awakens patient overnight (e.g. , ) (includes ) s CNS Mass III. History: Organic Headache Assessment See See See First or worst ? ( ) ( , , ) onset Gradual onset suggests benign cause Severe, sudden onset ( ) is a Age of onset Under age 30 years (...) is associated with lower risk s s rarely have onset after age 40 years IV. History: Headache localization and radiation Bilateral or ralized See See ( ) Localized (more significant than generalized) See Common primary unilateral s Temporal forehead Eye strain (especially with ) distribution Jaw pain Occipital pain (usually ) Occipital Neuralgia Acute Eye strain Occipital neuralgia due to Lower face V. History: Headache characteristics Pounding or other Vasodilator medications Lancinating (sharp, stabbing

2018 FP Notebook

143. Headache in HIV

, Headache in AIDS II. Precautions location does not differentiate cause in HIV patients HIV patients typically present without meningeal signs despite underlying HAART has decreased of opportunistic infection causes of However HIV patients require a high level of vigilence in evaluation due to confounding factors III. Differential Diagnosis Primary HIV related s Aseptic HIV Often self-limited, presenting at any Chronic HIV Presents as persistent moderate -like symptoms Secondary HIV related s (...) Opportunistic Common cause of Headache in AIDS patients and uniformly lethal if untreated Bilateral occipital and bifrontal s Malignant tous Focal s Primary CNS (PML) Common cause of Headache in AIDS patients Bifrontal and diffuse s Diffuse s Common cause of Headache in AIDS patients CMV Non-HIV related s See (includes ) (especially Pneumococcal ) of in HIV is 19 fold higher than the general population Higher risk with <200 cells/mm3, without , and comorbid or cancer Often presents with focal neurologic

2018 FP Notebook

144. Drug-Drug Interactions in Headache Medicine. (PubMed)

through alterations within the cytochrome P450 pathways (CYP). Drugs that cause induction, inhibition, or are simply substrates for these pathways are responsible for many of the DDIs.We review and discuss the important and potential DDIs of commonly used headache medication often encountered in clinical practice. We divide the drugs into two classes, abortive and preventive. Within each group we select the most commonly used drugs and provide a detailed discussion of the mechanisms of interaction (...) for each. Also included are commonly used herbal supplements, which can interact with headache medications.Drug-drug-interactions are a major concern when developing a treatment regimen for patients suffering from headaches. There is a growing need for physician attention to the pharmacokinetics of drugs to improve the quality of patient care. It is vital that prescribing physicians be aware of the DDIs associated with the commonly prescribed headache medications to optimize patient care and therapy

2016 Headache

145. Evaluation of CT and MRI Findings among Patients Presented with Chief Complaint of Headache in Central India (PubMed)

Evaluation of CT and MRI Findings among Patients Presented with Chief Complaint of Headache in Central India Headache is one of the most common presenting complaints in day to day medical practice however the secondary causes of headache are uncommon. Thus, appropriate selection of headache patient (Pt) is important to determine those that require neuroimaging due to likely secondary cause. Red flags and Clinical warning criterion (CWC) act as a screening tool to help in identifying those who (...) may get benefit from neuroimaging.To evaluate the findings of computed tomography (CT) and Magnetic Resonance Imaging (MRI) among patients presented with the chief complaint of headache and to compare the findings between two groups of patients.This retrospective observational study was carried out in 500 selected patients, who underwent CT or MRI scan of head in Peoples College of Medical Sciences and Research centre, Bhopal, MP during the period of 2 year in between Jan 2013 to Dec 2014. Siemens

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2016 Journal of clinical and diagnostic research : JCDR

146. "WHICH Headache to Investigate, WHEN, and HOW?" (PubMed)

"WHICH Headache to Investigate, WHEN, and HOW?" Headache is a common problem in medical practice. The International Classification of Headache Disorders (ICHD-3 beta)1 divides all headaches into two broad categories. Most headaches seen in practice belong to the category of primary headaches, where there is no underlying structural cause identifiable. Less than 10% headaches in practice belong to the category of secondary headaches where there is an underlying condition, that can sometimes (...) be ominous and life-threatening.Fear of missing a treatable serious secondary headache disorder is the most important reason why we need to investigate headache patients. There is no dilemma in investigating the patient when the clinical presentation is straightforward but when the headache presents differently or with 'red flags,' it can sometimes be quite challenging to order the right investigation and rapidly arrive at the right diagnosis.This article looks at some of the elusive headache scenarios

2016 Headache

147. Sleep apnoea headache in obstructive sleep apnoea syndrome patients presenting with morning headache: comparison of the ICHD-2 and ICHD-3 beta criteria (PubMed)

criteria for sleep apnoea headache in OSAS patients and to evaluate the differences with the ICHD-2.We conducted a cross-sectional survey regarding morning and sleep apnoea headaches that included 235 OSAS outpatients receiving continuous positive airway pressure (CPAP) treatment. The presence of morning headache was evaluated by reviewing the medical records before administration of CPAP treatment.Of all of the OSAS patients, 48 (20.4%) reported morning headaches. Of the 48 patients with morning (...) criteria was of clinical significance when considering the marked response of these headaches to CPAP therapy. The cause of sleep apnoea headache remains to be elucidated.

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2015 The journal of headache and pain

148. Hillary Clinton is “medically unfit to serve” as President and Donald Trump has narcissistic personality disorder: Stop this uninformed medical speculation about the candidates!

Clinton is “medically unfit to serve.” This is all incredibly thin gruel that leads Orient to wildly speculate further: Concussions often cause traumatic brain injury, which might not be visualized on standard CT or MRI. Many of our veterans who experienced blast injury from improvised explosive devices suffer from it. These are some symptoms: difficulty thinking, attention deficits, confusion, memory problems, frustration, mood swings, emotional outbursts, agitation, headaches, difficulties (...) that purportedly might have been an autoinjector of Valium. While we don’t have Mrs. Clinton’s medical records, it is widely stated that she experienced a fall that caused a concussion. Since then, she is sometimes seen wearing eyeglasses with prisms, as are used to correct double vision. Evidence for these speculations? Almost none. Just a photo and some videos claiming “strange head movements,” a moment of looking “dazed and confused” (Orient’s age may be showing, given the obvious Led Zeppelin reference

2016 Respectful Insolence

149. Self-medication for migraine: A nationwide cross-sectional study in Italy. (PubMed)

Self-medication for migraine: A nationwide cross-sectional study in Italy. Headache disorders are considered the second leading cause of years lived with disability worldwide, and 90% of people have a headache episode at least once a year, thus representing a relevant public health priority. As the pharmacist is often the first and only point of reference for people complaining of headache, we carried out a survey in a nationwide sample of Italian pharmacies, in order to describe (...) the distribution of migraine or non-migraine type headaches and medicines overuse among people entering pharmacies seeking for self-medication; and to evaluate the association, in particular of migraine, with socio-demographic and clinical characteristics, and with the pathway of care followed by the patients. A 14-item questionnaire, including socio-demographic and clinical factors, was administered by trained pharmacists to subjects who entered a pharmacy requesting self-medication for a headache attack

2019 PLoS ONE

150. Percutaneous Closure of Patent Foramen Ovale for the Treatment of Refractory Migraine Headaches

% of the total population. Migraines are treated with both prophylactic and acute medications. Patent foramen ovale (PFO) is one likely cause of migraine headaches and this is present in up to 25% of the total population. Percutaneous PFO closure is a likely option for definitive treatment for migraine. Once proven refractory to medical treatment, do patients with PFO and migraine respond to percutaneous PFO closure to reduce the frequency, duration and intensity of migraine headaches? Methods: An exhaustive (...) search of available medical literature was conducted using Medline/Ovid, CINAHL and Evidence-Based Medicine Reviews Multifile using the keywords: patent foramen ovale, migraine disorders, therapeutics and refractory. Inclusion criteria consisted of participants with a known patent foramen ovale and migraine headaches refractory to medical treatment, as well as studies performing percutaneous PFO closure measuring cessation or reduction in frequency, duration and intensity of migraine headaches. All

2013 Pacific University EBM Capstone Project

151. "The Root Cause" Netflix Documentary & Psuedoscience: A Recipe for Confusion

include: "The vast majority of chronic degenerative diseases begin with problems in the mouth, infections and toxins, and it is only until those are addressed that you are going to get any clear positive response with your disease. "70-90% of all medical problems originate in the mouth" "Data that we have just recently gotten shows now that the #1 cause of heart attack is a root canal treated tooth. Plain and simple. Not correlation, not link, cause and effect" "Conventional dentistry believes (...) with your shoes, when you wake up you will wake up with a headache. What's the problem here? Is it the shoes? No - the problem is that people who go to bed with their shoes on are usually drunk! The cause of the headache is the alcohol, not the shoes. But if you didn't know about the alcohol, you might argue that the shoes caused the headaches. We have so many of these nonsense types of statements." The Tooth is Not Dead! When discussing the Netflix documentary's claim that a root canal treated tooth

2019 The Endo Blog

152. Letermovir (Prevymis) - to prevent illness caused by cytomegalovirus (CMV) in adults having an allogeneic haematopoietic stem cell transplant

Letermovir (Prevymis) - to prevent illness caused by cytomegalovirus (CMV) in adults having an allogeneic haematopoietic stem cell transplant 30 Churchill Place ? Canary Wharf ? London E14 5EU ? United Kingdom An agency of the European Union Telephone +44 (0)20 3660 6000 Facsimile +44 (0)20 3660 5520 Send a question via our website www.ema.europa.eu/contact © European Medicines Agency, 2018. Reproduction is authorised provided the source is acknowledged. 9 November 2017 EMA/CHMP/490007/2017 (...) . Discussion on clinical safety 114 2.6.2. Conclusions on the clinical safety 115 2.7. Risk Management Plan 115 2.8. Pharmacovigilance 116 2.9. New Active Substance 116 2.10. Product information 117 2.10.1. User consultation 117 2.10.2. Labelling exemptions 117 Assessment report EMA/CHMP/490007/2017 Page 3/124 2.10.3. Additional monitoring 117 3. Benefit-Risk Balance 118 3.1. Therapeutic Context 118 3.1.1. Disease or condition 118 3.1.2. Available therapies and unmet medical need 118 3.1.3. Main clinical

2018 European Medicines Agency - EPARs

153. Clinical Aspects of Medication Overuse Headaches. (PubMed)

of MOH is associated with both frequency of use of medication and behavioral predispositions. MOH is not a unitary concept. The distinction between simple (type 1) vs complex (type 2) forms is based on both the class of overused medication and behavioral factors, including psychopathology and psychological drug dependence. MOH is a challenging disorder causing decline in the quality of life and causing physical symptoms, such as daily and incapacitating headaches, insomnia, and non-restorative sleep (...) Clinical Aspects of Medication Overuse Headaches. Medication overuse headache (MOH) is a subset of chronic daily headache, occurring from overuse of 1 or more classes of migraine abortive medication. Acetaminophen, combination analgesics (caffeine combinations), opioids, barbiturates (butalbital), non-steroidal anti-inflammatory drugs, and triptans are the main classes of drugs implicated in the genesis of MOH. Migraine seems to be the most common diagnosis leading to MOH. The development

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2013 Headache

154. Endoscopic Management of Contact Point Headache in Patients Resistant to Medical Treatment (PubMed)

Endoscopic Management of Contact Point Headache in Patients Resistant to Medical Treatment The existence and the best treatment for contact point headache is a controversial issue. Therefore, this study tried to evaluate the response of the patients with a rhinogenic headache who were resistant to medical treatment to endoscopic sinus surgery. Thirty patients who suffered from a unilateral headache or facial ache for at least 1 year and resistant to medical treatment were evaluated (...) and 7.9 ± 2.5, respectively. These values consequently decreased to 4.8 ± 2.3 and 3.73 ± 1.7 1 year after surgery, respectively. The overall response rate was 93.3 % and no major complications were seen in this series. If there is strong clinical suspicion and meticulous selection criteria, provided that other causes of headache have been ruled out, endoscopic management of the rhinogenic headache can be effective.

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2013 Indian Journal of Otolaryngology and Head & Neck Surgery

155. Three blind mice: 2017 SASMA Conference from the eyes of three medical students (PART 2)

Functional change Check if symptoms are not caused by drugs Remove Rapid screening NB SCAT5 takes 10 minutes- DO NOT rush! No less than 10 minutes Issue is at FIFA level currently where a concussion check is done in a couple of minutes on field of play Re-evaluate Healthcare Professionals Medical doctor History, Mechanism of injury, Examination Neuropsychological testing is only 1 tool Rest BIG CHANGE: Not complete rest 24-48 hours complete rest then: Gradual exercise and cognitive loading Rehabilitation (...) Three blind mice: 2017 SASMA Conference from the eyes of three medical students (PART 2) Three blind mice: 2017 SASMA Conference from the eyes of three medical students (PART 2) | BJSM blog - social media's leading SEM voice by By Kyle A. Winik, Lisa Erasmus and Robyn Paulse The SASMA conference is a biennial event and the latest instalment – the 17 th of its kind – was held in Cape Town. This year’s theme was “Integrate-Accelerate Elevate”. As medical students attending our first conference

2018 British Journal of Sports Medicine Blog

156. Cysticercosis and taeniasis cases diagnosed at two referral medical institutions, Belgium, 1990 to 2015. (PubMed)

study we retrospectively gathered data on taeniasis and cysticercosis cases by screening laboratory, medical record databases as well a uniform hospital discharge dataset.ResultsA total of 221 confirmed taeniasis cases were identified. All cases for whom the causative species could be determined (170/221, 76.9%) were found to be T. saginata infections. Of those with available information, 40.0% were asymptomatic (26/65), 15.4% reported diarrhoea (10/65), 9.2% reported anal discomfort (6/65) and 15.7 (...) Cysticercosis and taeniasis cases diagnosed at two referral medical institutions, Belgium, 1990 to 2015. BackgroundFew case reports on human infections with the beef tapeworm Taenia saginata and the pork tapeworm, Taenia solium, diagnosed in Belgium have been published, yet the grey literature suggests a higher number of cases.AimTo identify and describe cases of taeniasis and cysticercosis diagnosed at two Belgian referral medical institutions from 1990 to 2015.MethodsIn this observational

2019 Euro Surveillance

157. Risk factors, clinical presentations and predictors of stroke among adult patients admitted to stroke unit of Jimma university medical center, south west Ethiopia: prospective observational study. (PubMed)

Risk factors, clinical presentations and predictors of stroke among adult patients admitted to stroke unit of Jimma university medical center, south west Ethiopia: prospective observational study. Stroke is the second-leading global cause of death behind heart disease in 2013 and is a major cause of permanent disability. The burden of stroke in terms of mortality, morbidity and disability is increasing across the world. It is currently observed to be one of the commonest reasons of admission (...) in many health care setups and becoming an alarming serious public health problem in our country Ethiopia. Despite the high burden of strokes globally, there is insufficient information on the current clinical profile of stroke in low and middle income countries (LMICs) including Ethiopia. So, this study was aimed to assess risk factors, clinical presentations and predictors of stroke subtypes among adult patients admitted to stroke unit of Jimma university medical center (JUMC).Prospective

2019 BMC Neurology

158. Risk factors, clinical presentations and predictors of stroke among adult patients admitted to stroke unit of Jimma university medical center, south west Ethiopia: prospective observational study. (PubMed)

Risk factors, clinical presentations and predictors of stroke among adult patients admitted to stroke unit of Jimma university medical center, south west Ethiopia: prospective observational study. Stroke is the second-leading global cause of death behind heart disease in 2013 and is a major cause of permanent disability. The burden of stroke in terms of mortality, morbidity and disability is increasing across the world. It is currently observed to be one of the commonest reasons of admission (...) in many health care setups and becoming an alarming serious public health problem in our country Ethiopia. Despite the high burden of strokes globally, there is insufficient information on the current clinical profile of stroke in low and middle income countries (LMICs) including Ethiopia. So, this study was aimed to assess risk factors, clinical presentations and predictors of stroke subtypes among adult patients admitted to stroke unit of Jimma university medical center (JUMC).Prospective

2019 BMC Neurology

159. Analgesics Self-Medication and its Association with Sleep Quality among Medical Undergraduates (PubMed)

Interval (CI) was also calculated. Chi-square test was used.Analgesic self medication prevalence was 49.7%, more prevalence seen among males, seniors, urban residents and students of working parents. Headache (48.4%) was the most common cause and paracetamol (79.7%) was most frequent drug used, based on knowledge obtained through textbook and internet (47.1%). Mildness of symptoms (49.1%) was the most important motivation behind self medication. Analgesic use was more (57.4%) among "poor sleepers (...) Analgesics Self-Medication and its Association with Sleep Quality among Medical Undergraduates Self medication especially with analgesics is a common practice among undergraduate medical students. Variation in analgesic self medication prevalence and pattern is often seen due to geographical and target population differences. The mutual influence of pain and sleep quality might persuade students self medication behaviour.To assess analgesic self medication and its association with sleep quality

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2016 Journal of clinical and diagnostic research : JCDR

160. Psilocybin dose-dependently causes delayed, transient headaches in healthy volunteers. (PubMed)

Psilocybin dose-dependently causes delayed, transient headaches in healthy volunteers. Psilocybin is a well-characterized classic hallucinogen (psychedelic) with a long history of religious use by indigenous cultures, and nonmedical use in modern societies. Although psilocybin is structurally related to migraine medications, and case studies suggest that psilocybin may be efficacious in treatment of cluster headache, little is known about the relationship between psilocybin and headache.This (...) double-blind study examined a broad range of psilocybin doses (0, 5, 10, 20, and 30 mg/70 kg) on headache in 18 healthy participants.Psilocybin frequently caused headache, the incidence, duration, and severity of which increased in a dose-dependent manner. All headaches had delayed onset, were transient, and lasted no more than a day after psilocybin administration.Possible mechanisms for these observations are discussed, and include induction of delayed headache through nitric oxide release

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2012 Drug and alcohol dependence

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