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Pediatric Inpatient Headache Therapy: What Is Available

Children, as well as adults, can end up in the ED with an intractable headache, or status migrainosus, that failed outpatient therapy. What are the therapeutic options for these pediatric patients?  
medscape.com
almost 5 years ago
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Headache and amaurosis fugax in an obese woman

A 42 year old obese woman presented with transient visual obscurations (amaurosis fugax) and headache for six months. She was alert and had no focal neurological deficit. Fundoscopy showed a similar picture in both eyes ⇓. What is the diagnosis?  
feeds.bmj.com
almost 5 years ago
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Headache specialist is suspended for dishonesty

A headache specialist who was found to have acted dishonestly in the run up to a clinical trial has been suspended from the UK medical register for four months after losing an appeal to the High Court.  
feeds.bmj.com
almost 5 years ago
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Headache Management: Pharmacological Approaches

Using existing evidence and guidelines, this paper provides a practical approach to effective management of migraine and other common headache disorders.  
medscape.com
over 4 years ago
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Headaches and hormones: a potentially lethal combination

An 85 year old man presented to the emergency department with a five day history of headache, vomiting, and progressive visual loss in both eyes. He had no history of weight loss, seizures, or limb or facial weakness. He had hypertension, abdominal aortic aneurysm (under surveillance), hypothyroidism, and benign prostatic hypertrophy.  
feeds.bmj.com
over 4 years ago
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Headaches and hormones: a potentially lethal combination

An 85 year old man presented to the emergency department with a five day history of headache, vomiting, and progressive visual loss in both eyes. He had no history of weight loss, seizures, or limb or facial weakness. He had hypertension, abdominal aortic aneurysm (under surveillance), hypothyroidism, and benign prostatic hypertrophy.  
feeds.bmj.com
over 4 years ago
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Headaches and hormones: a potentially lethal combination

An 85 year old man presented to the emergency department with a five day history of headache, vomiting, and progressive visual loss in both eyes. He had no history of weight loss, seizures, or limb or facial weakness. He had hypertension, abdominal aortic aneurysm (under surveillance), hypothyroidism, and benign prostatic hypertrophy.  
feeds.bmj.com
over 4 years ago
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Headaches and hormones: a potentially lethal combination

An 85 year old man presented to the emergency department with a five day history of headache, vomiting, and progressive visual loss in both eyes. He had no history of weight loss, seizures, or limb or facial weakness. He had hypertension, abdominal aortic aneurysm (under surveillance), hypothyroidism, and benign prostatic hypertrophy.  
feeds.bmj.com
over 4 years ago
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Thunderstruck. Head CT within 6 hours of headache onset and [...] | EMBlog Mayo Clinic

Image by John Fowler via Flickr, no changes were made. Used under CC BY-2.0 Jeff Perry originally published his breakthrough article st…  
emblog.mayo.edu
over 4 years ago
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Xanthochromia Detection: Visual Inspection vs. Spectrophotometry - R.E.B.E.L. EM - Emergency Medicine Blog

Background: Although non-contrast head CT (NCHCT) has near perfect sensitivity (98-100%) in detecting aneurysmal subarachnoid hemorrhage (SAH) when performed within 6 hours of headache onset, sensitivity declines after 6 hours. As a result of declining sensitivity, lumbar puncture (LP) continues to be part of the workup in suspected SAH. An LP gives providers the ability to perform CSF analysis for red blood cells and detect xanthochromia by visual inspection or spectrophotometry. In most of the world, including the United States, the predominant approach to identifying xanthochromia is visual detection. However, this technique is subjective and considered unreliable by many. Spectrophotometry is a more objective test but, has lower specificity, carries a higher cost and is unavailable in the majority of hospitals.  
rebelem.com
over 4 years ago
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Does a Normal Head CT Within 6 Hours of Onset of Headache Rule Out SAH? - R.E.B.E.L. EM - Emergency Medicine Blog

There has been a series of studies published in the past few years looking at the value of a negative head CT scan performed within 6 hours of headache onset in ruling out SAH.  
rebelem.com
over 4 years ago
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Headaches in Women With Migraine Rise in Perimenopause

It's official: women with migraine experienced more frequent headaches during perimenopause than at other times, a new study shows.  
medscape.com
over 4 years ago
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Post-Traumatic Headaches in Children and Adolescents

Concussion is a common occurrence in children and adolescents, particularly in those involved in sports, and headache often follows. What's the best approach to management in these cases?  
medscape.com
over 4 years ago
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Early Brain CT After Headache Onset Can Rule Out Aneurysmal Hemorrhage

In patients with thunderclap headache and normal neurological exam, a normal brain computed tomography (CT) scan can rule out aneurysmal subarachnoid hemorrhage (SAH), according to new research.  
medscape.com
over 4 years ago
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Acute otalgia and otorrhoea in primary care

A 26 year old otherwise well man with no medical history of note attended his general practice with a five day history of severe right ear pain and scanty ear discharge. He had returned from holiday one week earlier, where he had been swimming. He had no headache, fever, or systemic upset.  
feeds.bmj.com
over 4 years ago
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Acute otalgia and otorrhoea in primary care

A 26 year old otherwise well man with no medical history of note attended his general practice with a five day history of severe right ear pain and scanty ear discharge. He had returned from holiday one week earlier, where he had been swimming. He had no headache, fever, or systemic upset.  
feeds.bmj.com
over 4 years ago
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Post-Traumatic Headache Management

Increasingly we are seeing children in the days to weeks following traumatic brain injuries in the Pediatric Emergency Department. Most often these children present with persistent headaches. After a discussion with he family about how neuroimaging is unlikely to benefit the majority of patients it is time to discuss treatment considerations.*  
pemcincinnati.com
over 4 years ago
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Ganglion Block Beats Blood Patch for Dural Puncture Headache

This approach should be the first-line therapy for obstetric patients experiencing postdural puncture headache, researchers say.  
medscape.com
over 4 years ago
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Complications of rhinosinusitis

A 65 year old man was initially referred to plastic surgery because of a recurrent abscess on the forehead, and headache. He was subsequently referred to ear, nose, and throat surgery for definitive management of his sinus complication. What is the diagnosis?  
feeds.bmj.com
over 4 years ago
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Complications of rhinosinusitis

A 65 year old man was initially referred to plastic surgery because of a recurrent abscess on the forehead, and headache. He was subsequently referred to ear, nose, and throat surgery for definitive management of his sinus complication. What is the diagnosis?  
feeds.bmj.com
over 4 years ago