The adult patient with headache.
| Autor: | Lee VME; Department of Family Medicine, National University Health System, Singapore., Ang LL; Clementi Polyclinic, National University Polyclinics, Singapore., Soon DTL; Department of Neurology, National University Health System, Singapore., Ong JJY; Department of Neurology, National University Health System, Singapore., Loh VWK; Department of Family Medicine, National University Health System, Singapore. |
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| Jazyk: | angličtina |
| Zdroj: | Singapore medical journal [Singapore Med J] 2018 Aug; Vol. 59 (8), pp. 399-406. |
| DOI: | 10.11622/smedj.2018094 |
| Abstrakt: | Headaches are common in primary care. For safe assessment and management of the patient with headache, a focused history and physical examination are important to identify secondary headache, and find out whether an immediate referral to the emergency department or a non-emergent referral to the neurologist is warranted. The majority of patients with primary headache may be safely managed in the outpatient setting. Key steps include proper categorisation of the primary headache, attention to lifestyle and psychosocial factors, prescription of analgesics for acute pain relief, and the use of preventive medication when indicated. The patient with a cluster headache, a headache of uncertain diagnosis and/or poor response to preventive strategies or a migraine with persistent aura, or a headache with associated motor weakness, should be referred to a neurologist. Secondary headache and the diagnosis of medication overuse headache should be considered in a patient on long-term analgesics with unremitting headache. (Copyright: © Singapore Medical Association.) |
| Databáze: | MEDLINE |
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