1. Sorting out your Headache patients Dr John G Hughes BASH for FDA 20141

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4.  History  Examination Dr John G Hughes BASH for FDA 20144

5.  Tension type headache  Migraine  Cluster and other TACs Dr John G Hughes BASH for FDA 20145

6.  Head/neck injury  Subarachnoid haemorrhage  CSF pressure – high or low  Brain tumour  Chemical – CO or medication Dr John G Hughes BASH for FDA 20146

7.  Featureless  Band like ache  Mild photo/phonophobia/nausea Dr John G Hughes BASH for FDA 20147

8.  Throbbing pain  Sensitivity to stimuli  Exacerbated by activity  Associated features  Aura? Dr John G Hughes BASH for FDA 20148

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11.  Nausea  Photophobia  Disability (functional impairment)  93% predictive for migraine Dr John G Hughes BASH for FDA 201411

12.  Evolving neurological phenomenon  Visual  Speech  Sensory Dr John G Hughes BASH for FDA 201412

13.  Aspirin  Triptans  Avoid triggers  Prophylaxis  B Blockers  Topiramate  Tricyclics Dr John G Hughes BASH for FDA 201413

14.  Very severe 30-120 min  Agitation and autonomic features  Mainly men  Diurnal and seasonal synchronicity Dr John G Hughes BASH for FDA 201414

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17.  Triptan injections  Steroids  High flow 100% oxygen  Prophylaxis  Verapamil  Lithium Dr John G Hughes BASH for FDA 201417

18.  New onset headache >50  Increased severity =/- frequency  Exacerbation with exertion/Valsalva  Patient pressure Dr John G Hughes BASH for FDA 201418

19.  BASH Guidelines  www.bash.org.uk/guidelines/ www.bash.org.uk/guidelines/  3 minute neurological examination  www.youtube.com/watch?v=fgwN1P5PDaA www.youtube.com/watch?v=fgwN1P5PDaA  SIGN Guidelines  www.sign.ac.uk/guidelines/fultext/107/ www.sign.ac.uk/guidelines/fultext/107/ Dr John G Hughes BASH for FDA 201419

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