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Content
Patients with headache pose many clinical challenges. Even experienced clinicians occasionally arrive at the point where diagnostic, work-up, treatment, or prognostic thinking becomes blocked. In short, we all find ourselves from time to time in an exam room or at the bedside, asking ourselves, "What do I do now?" Standard textbooks are often not helpful enough, and tracking down a consultant can be difficult. This book serves the need for a quick reference tool for these difficult headache clinical questions. In this book, nationally known headache specialists Drs Lawrence Newman and Morris Levin have simulated the "curbside consultation" in a representative set of 33 "mini-cases" of headache and facial pain. The key questions in each are addressed, much as a consultant would do over the phone or in the hallway. This volume is divided into three sections that cover the typical ground for head/face pain consultation: (1) Diagnostic Questions, (2) Treatment Considerations, and (3) Prognostic, Social and Legal Issues. Recommendations are based on the most current evidence available. Diagnostic thinking is presented along the lines of the International Classification of Headache Disorders, second edition (ICHD-II). A list of key clinical points appears at the end of each case discussion, followed by a list of suggested articles or chapters for those interested in doing further reading on the subject. Tables are provided for quick reference in most chapters. This book is designed as a very practical resource for clinicians at all levels of training in all fields of medicine who treat patients with headache and facial pain syndromes. WDIDN-Headache and Facial Pain focuses on the major motivating force driving most clinicians -- the intellectual challenge of sorting through complex important clinical problems. This book takes a hands-on approach to common and not-so-common headache and facial pain disorders that often leave the clinician scratching their head and wondering what their next move should be. Mixing evidence-based medicine with best practices, the authors address complicated clinical dilemmas in a succinct, practical and authoritative manner. It's like having your own curb-side consult on your bookshelf. A new way to solve an old problem for clinicians - what to do when you arrive at a clinical "impasse" and really want a superspecialist to just give you a little guidance. CONTENTS Section I Diagnostic Questions 1: Orgasmic Headaches 2: Sinus Headache 3: White Matter Abnormalities on Magnetic Resonance Imaging 4: Childhood Migraine 5: Giant Cell Arteritis 6: Carotid Dissection 7: Chiari Malformation and Migraine 8: New Daily Persistent Headache 9: Spontaneous Intracranial Hypotension 10: Vasculitis Headache 11: Migraine with Persistent Aura 12: Migrainous Vertigo 13: Cough Headache 14: Nummular Headache Section II Treatment Considerations 15: Menstrual Headaches 16: Analgesic Overuse 17: Headaches in Pregnancy 18: Hemicrania Continua 19: Trigeminal Neuralgia 20: Emergency Department and Inpatient Management 21: Occipital Neuralgia 22: Headache Recurrence 23: Headache and Allergy 24: Headache Treatment in Human Immunodeficiency Virus Infection (HIV) and Drug Addiction 25: Pseudotumor Section III Prognostic, Social, and Legal Issues 26: Migraine Treatment and the Serotonin Syndrome 27: School Issues 28: Posttraumatic Headaches 29: Transient Global Amnesia and Migraine 30: Migraines and Arteriovenous Malformations 31: Migraine and Patent Foramen Ovale 32: Postconcussive Headache 33: Use of Triptans in Elderly Patients
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