Reference no: EM133860329

Assignment:

The person who fractures an ankle has an injury-a disease-producing immediate illness. Both form and function have been impaired. The illness occurred at the instant of the development of the injury or disease. The child who is infected with measles, on the other hand, does not become ill until approximately 10 days after exposure (the incubation period). During this incubation period the child is not ill but has a viral infectious disease that is incubating and will soon produce discomfort and illness. Some diseases render a person more susceptible to illness only when the person is under stress.

1. How often does migraine headache present unilaterally?

2. Are ergotamine-containing preparations contraindicated in the treatment of resistant migraine in hypertensive patients? Can I give it, under close supervision of the blood pressure, in the emergency room?

3. Should ergotamine be given to abort a migrainous attack in a pregnant female? If not, what is the recommended alternative?

4. What is the frequency of migrainous attacks above which prophylactic therapy should be commenced? If commenced, for how long should the treatment be continued and what should be done if frequent attacks recur after discontinuation of the prophylactic treatment?

5. Is verapamil more effective in migraine prophylaxis than flunarizine?

6. Are imipramine and fluoxetine effective as a prophylactic treatment against migraine? Are they as effective as amitriptyline?

7. 1. Is sodium valproate more effective than valproic acid with regard to migraine prophylaxis and anti-epileptic activity?

2. Is carbamazepine effective as a prophylaxis against migraine?

8. Can flunarizine, diltiazem and nifedipine be used in the treatment of a cluster headache and do they have the same efficacy as verapamil?

9. If cluster headache migraine is confidently diagnosed in general practice, is it worth trying lithium prophylaxis or should this commence at secondary care level? Which other treatment is recommended?

10. Is ergotamine effective in preventing an attack of cluster headache?