Headache
Resources to Review Prior to Conference
Goals and Objectives
Goals
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Trainee will demonstrate competence in the initial evaluation and management of patients with headaches
Objectives
Trainee will be able to:
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List life- and function-threatening causes of headaches, including:​
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Acute angle-closure glaucoma
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Carbon monoxide toxicity
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Cervical artery dissection
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CNS infection
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CNS mass
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Giant cell (temporal) arteritis
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Idiopathic intracranial hypertension (Pseudotumor cerebri)
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Intracranial hemorrhage
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Venous thrombosis
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List common causes of headaches that are not life- or function-threatening
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Tension Headaches
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Migraine Headaches
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List essential exam steps for patients with headaches
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HEENT exam
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Neurologic exam
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Meningismus evaluation
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Describe indications for CNS imaging and lumbar puncture
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Describe initial interventions for patients presenting with potentially life- and vision-threatening causes of headaches, including:
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Antibiotics
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Anticoagulation
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Reversal of anticoagulation
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Blood pressure management
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Glucocorticoids
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Describe initial interventions for patients presenting with non-life-threatening causes of headaches, including:
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Analgesia
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Life-style adjustments
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Additional Resources
Overview
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Evaluation and Management of Acute Headache (ACEP Clinical Policy 2019) (pdf)
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Life Threatening Headaches (EB Medicine 2019)
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Approach to Headache (CDEM 2019)
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Pitfalls in the Management of Headache in the Emergency Department (Emerg Med Clin N Am 2010) (pdf)
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Acute Angle Closure Glaucoma
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Acute Angle Closure Glaucoma (EMDocs 2017)
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Carbon Monoxide Poisoning
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Carbon Monoxide Poisoning (LITFL 2016)
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Cervical Artery Dissection
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Cervical Artery Dissection (EB Medicine 2016)
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CNS Infections​
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Bacterial Meningitis Review for 2016 LLSA (EM:RAP 2016)
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CNS Masses
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Headache and Brain Tumor (Neuroimaging Clin N Am 2019)
Giant Cell (Temporal) Arteritis
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Giant Cell Arteritis (Ann Int Med 2016) (pdf)
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Giant Cell Arteritis and Polymyalgia Rheumatica (NEJM 2014)
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Idiopathic Intracranial Hypertension
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Idiopathic Intracranial Hypertension (Curr Treat Options Neurol 2013) (pdf)
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Intracranial Hemorrhage
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See: Stroke (EM Fundamentals)​​
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Venous Thrombosis
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Cerebral Venous Thrombosis (emDOCs 2016)​​
Lower-Acuity Headaches
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Migraines
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Managing Migraine (Ann Emerg Med 2017) (pdf)
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Management of Adults With Acute Migraine in the Emergency Department (Headache 2016) (pdf)
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Procedures
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Lumbar Puncture
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Lumbar Puncture (EM:RAP 2016)
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CSF Analysis (LITFL 2019)
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