Please use this identifier to cite or link to this item: https://doi.org/10.11622/smedj.2018094
Title: The adult patient with headache
Authors: Lee, Vivien Min Er
ANG LAI LAI 
SOON TUCK LOONG, DEREK 
ONG JIA YUAN, JONATHAN 
LOH WENG KEONG VICTOR 
Keywords: Science & Technology
Life Sciences & Biomedicine
Medicine, General & Internal
General & Internal Medicine
cluster headache
headache
migraine disorder
primary care
tension-type headache
TENSION-TYPE HEADACHE
PHARMACOLOGICAL-TREATMENT
PRIMARY-CARE
MIGRAINE
MANAGEMENT
DIAGNOSIS
SOCIETY
FREQUENCY
SINGAPORE
IMPACT
Issue Date: 1-Aug-2018
Publisher: SINGAPORE MEDICAL ASSOC
Citation: Lee, Vivien Min Er, ANG LAI LAI, SOON TUCK LOONG, DEREK, ONG JIA YUAN, JONATHAN, LOH WENG KEONG VICTOR (2018-08-01). The adult patient with headache. SINGAPORE MEDICAL JOURNAL 59 (8) : 399-406. ScholarBank@NUS Repository. https://doi.org/10.11622/smedj.2018094
Abstract: © 2018, Singapore Medical Association. All rights reserved. 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.
Source Title: SINGAPORE MEDICAL JOURNAL
URI: https://scholarbank.nus.edu.sg/handle/10635/162767
ISSN: 0037-5675
DOI: 10.11622/smedj.2018094
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