Ebook ABC of headache: Part 2
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Ebook ABC of headache: Part 2
CHAPTER 8Teenage HeadacheIshaq Abu-ArafehOVERVIEW•Headoche is common in teenager•Migraine and tension-type headache are the most common causes•Mixed h Ebook ABC of headache: Part 2headaches can confuse dagnosis and treatment•Headache daries are useful in making the diagnosis of different types of headache•Emotional and psychotogxa factors piay an important role in daily headaches and should be considered in the assessment and management of teenagers with headache•Headache can Ebook ABC of headache: Part 2 have a significant impact on education and family life•Investigations are rarely needed rf the history is typical and examination normal•Explanat onEbook ABC of headache: Part 2
of the dagcosts and education of the teenager and the famty improve compliance with advice and treatment•Treatment should be mdsidualized to the headaCHAPTER 8Teenage HeadacheIshaq Abu-ArafehOVERVIEW•Headoche is common in teenager•Migraine and tension-type headache are the most common causes•Mixed h Ebook ABC of headache: Part 2rned about the headaches as she IS losing time from school Amy lives with her mother and younger sister (11 years). Her parents separated two years ago and she and her sister spend one weekend every fortnight with ther father and his partner.HistoryHow many different headache types does the patient Ebook ABC of headache: Part 2have?Amy describes two types of headache. Type I is ‘bad’. Most are associated with anorexia, nausea, photophobia, phonophobia and pallor, but less thEbook ABC of headache: Part 2
an half the attacks are associated with vomiting. Type 2 is ‘not so bad’. There is no nausea or vomiting and no intolerance to light or noise. In partCHAPTER 8Teenage HeadacheIshaq Abu-ArafehOVERVIEW•Headoche is common in teenager•Migraine and tension-type headache are the most common causes•Mixed h Ebook ABC of headache: Part 2estionsAmy has had headaches for the past three years. She gets one or two type 1 headaches each month. The headache builds up in intensity over a period of 60 minutes and each attack lasts 12-24 hours. Type 2 headaches occur almost every day of the week and each attack lasts 2-3 hours.Character que Ebook ABC of headache: Part 2stionsIn type 1 the pain is throbbing in nature with maximum intensity around the forehead and one side of the head. Amy describes type 2 headaches asEbook ABC of headache: Part 2
‘just sore’ round the head.Cause questionsThere are no known warning symptoms or trigger factors.Response to headache questionsWith type 1 headaches CHAPTER 8Teenage HeadacheIshaq Abu-ArafehOVERVIEW•Headoche is common in teenager•Migraine and tension-type headache are the most common causes•Mixed h Ebook ABC of headache: Part 2codeine more helpful in relieving symptoms.Type 2 headaches are relieved with rest, but Amy only occasionally treats these headaches with paracetamol. These headaches affect her ability to concentrate on her schoolwork and she often stays at home.State of health between attacksOther than headaches, Ebook ABC of headache: Part 2she is well and has no other illnesses.ExaminationBlood pressure and funduscopy are mandatory in any person presenting with headache. Head circumferenEbook ABC of headache: Part 2
ce should also be considered. In Amy's case physical and neurological examinations were normal. However, consider repeating the examination at a laterCHAPTER 8Teenage HeadacheIshaq Abu-ArafehOVERVIEW•Headoche is common in teenager•Migraine and tension-type headache are the most common causes•Mixed h Ebook ABC of headache: Part 2 confidence that the doctor has taken their complaints seriously.4142ABC of HeadacheCHAPTER 8Teenage HeadacheIshaq Abu-ArafehOVERVIEW•Headoche is common in teenager•Migraine and tension-type headache are the most common causes•Mixed hGọi ngay
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