Emergency And Intractable Headache
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Emergency And Intractable Headache
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Author : David W. Dodick
language : en
Publisher: Wiley-Blackwell
Release Date : 2014-07-28
Emergency And Intractable Headache written by David W. Dodick and has been published by Wiley-Blackwell this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-07-28 with Medical categories.
Emergency and Intractable Headache is a practical guide to help clinicians quickly and accurately identify those patients, based on a brief history and examination, who require investigations to rule out a specific secondary cause for headache. It covers the initial clinical evaluation to generate a short differential diagnosis and provides guidance to the selection of appropriate investigations. The most important secondary causes, especially those that are commonly overlooked, will be briefly discussed, primarily setting out how each disorder presents and when to be suspicious, which tests are appropriate, and the definitive treatment. It also provides an evidence-based approach with specific medication algorithms for those patients with a recurrent primary headache disorder that has not responded to self-administered therapies. Since half of emergency department visits for headache are generated by 'repeat' patients, or so-called frequent fliers, it also offers a practical approach to improving outcomes for and reducing repeat visits by these patients. Emergency and Intractable Headache is a valuable resource for neurologists and neurology trainees, as well as general and family practitioners.
Practical Assessment And Treatment Of The Patient With Headaches In The Emergency Department And Urgent Care Clinic
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Author : Dawn A. Marcus
language : en
Publisher: Springer Science & Business Media
Release Date : 2011-07-29
Practical Assessment And Treatment Of The Patient With Headaches In The Emergency Department And Urgent Care Clinic written by Dawn A. Marcus and has been published by Springer Science & Business Media this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011-07-29 with Medical categories.
Migraine is an extremely common condition affecting 28 million Americans. Fully 1 in every 6 adult women suffers from this malady. Patients with migraine are frequently seen in the Emergency Room and Urgent Care Clinic for acute treatment of their headaches. Headache generally accounts for nearly 3 % of all ER visits, resulting in almost 3.5 million visits annually. There currently are no widely used guidelines for the treatment of patients with headache in the ER or UCC, and reducing the number of CT scans remains a key goal for administrators in many ER or urgent care settings. In one study, 35 drugs, alone or in combination, were used to treat migraine. The most common medication class used was narcotics, which were used in 25% of the visits. The next two most commonly used classes were antiemetics and NSAIDs. Only 5% of patients seen for headache received headache-specific medications during their visit. ER and Urgent Care physicians generally have little or no formal training in treating these patients. Consequently, they often feel less comfortable ruling out secondary causes of headaches and using appropriate headache treatment medications and procedures. Since many patients have received narcotics in previous visits, providers may view them as drug seekers. Patients seen in ERs and UCCs for acute treatment of their headaches often report high levels of dissatisfaction. They often end up in the ER or UCC because they don’t have a formal treatment strategy for their severe headaches. Health plans and insurance agencies are often frustrated by the high cost of fragmented care for patients with headaches. Because of the environment that most ER and UCC providers operate in, many unnecessary scans and tests are done because of uncertainty of the diagnosis and unfamiliarity of the patient. Primary care physicians are also frustrated by patients with headaches presenting to them after being seen in the ER or UCC, wanting a refill of their narcotics that they were given. Many patients don’t follow up with their PCPs and simply keep returning to the ER/UCC for their treatment. In short, all involved in the care for patients with headache are frustrated by the current system. The care for these patients is clearly not optimal. It doesn’t have to be that way. There are a wide variety of effective treatment options available, but are underutilized in the acute setting. With these treatment options, patients no longer have to be treated only with parenteral narcotics, only to perpetuate the cycle of suboptimal care described above. This concise handbook covers all aspects of acute headache care, including care of the child and adolescent with acute headaches, treatment of pregnant and breastfeeding women with acute headaches and appropriate evaluation of secondary headaches. In addition, two other novel chapters are included: one on caring for older patients with acute headaches as well as a chapter describing how to ensure a seamless transition of the patient back to a headache interested provider. Representing an important milestone in the care of patients with headache, this is the first concise handbook available to exclusively address the issue of headache treatment in the acute care setting. Including protocols and strategies that can be used right away, Management of Headaches in Emergency Room and Urgent Care Settings: Diagnosis and Management provides information about lesser known, but effective strategies such as greater occipital nerve blocks that can be easily learned and incorporated in the acute care setting. It emphasizes the continuity of care that is so vital to keep headache patients from returning to the ER and UCC for acute treatment.
Emergency Headache
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Author : Serena L. Orr
language : en
Publisher: Cambridge University Press
Release Date : 2017-10-26
Emergency Headache written by Serena L. Orr and has been published by Cambridge University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-10-26 with Medical categories.
Understand the approach to routine and rare headaches in an emergency setting, with this guide written by experts in neurology and emergency medicine.
Migraine
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Author : Robert A. Davidoff
language : en
Publisher: Oxford University Press
Release Date : 2002-02-14
Migraine written by Robert A. Davidoff and has been published by Oxford University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2002-02-14 with Medical categories.
Migraine: Manifestations, Pathophysiology, and Management, Second Edition, is a much expanded, updated monograph that focuses in detail on migraine's diverse variations, its pathophysiology, and its treatment. Authored by a clinician/scientist who himself suffers from migraine, the book's premise is that the clinical significance of migraine and its treatment are intelligible only if the physician understands the anatomical, physiological, and pharmacological factors underlying both head pain and the other manifestations of migraine. The book provides clear clinical descriptions of the myriad of specific migraine syndromes, and discusses the rationale for, and elements of, a sensitive, inclusive patient history. Also covered are important but sometimes ignored topics such as environmental triggering of migraine and myofascial syndromes. The Second Edition also bridges the gap between basic science and clinical practice by explaining those substantive advances made in understanding fundamental mechanisms of head pain and aura. Recent knowledge about genetics, hormonal changes, cerebral circulation, nitric oxide, peptides, central sensitization of trigeminal neurons, and the role of periaqueductal gray matter buttress the discussion of basic mechanisms. On the treatment side, the Second Edition reflects the impressive advances in pharmacological approaches to migraine. There is a greatly expanded section on the triptans and their mechanisms of action, and rationales and practical information about the use of all other viable anti-migraine and prophylactic drugs. Psychobiological aspects of stress and stress management, elimination of environmental stimuli, the educational facets of management, and aspects of the patient/physician interaction so crucial in the treatment of migraine are all discussed. Special problems associated with the care of women, children, the elderly, patients with intractable headaches, and emergency department patients are thoroughly reviewed. In sum, this scholarly, well-referenced book offers in one volume a comprehensive scientific and clinical discussion of migraine headache.
An Introduction To Clinical Emergency Medicine
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Author : S. V. Mahadevan
language : en
Publisher: Cambridge University Press
Release Date : 2012-04-10
An Introduction To Clinical Emergency Medicine written by S. V. Mahadevan and has been published by Cambridge University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-04-10 with Medical categories.
Fully-updated edition of this award-winning textbook, arranged by presenting complaints with full-color images throughout. For students, residents, and emergency physicians.
Cases In Pediatric Acute Care
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Author : Andrea Kline-Tilford
language : en
Publisher: John Wiley & Sons
Release Date : 2020-03-30
Cases In Pediatric Acute Care written by Andrea Kline-Tilford and has been published by John Wiley & Sons this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-03-30 with Medical categories.
Cases in Pediatric Acute Care presents over 100 real-world pediatric acute care cases, each including a brief patient history, a detailed history of present illness, presenting signs and symptoms, vital signs, and physical examination findings. Ideal for developing a systematic approach to diagnosis, evaluation, and treatment, this resource provides students and advanced practitioners with the tools required to deliver comprehensive care to acute, chronic and critically ill children. The cases encompass a wide range of body systems, medical scenarios, professional issues and general pediatric concerns, and feature laboratory data, radiographic images and information on case study progression and resolution. Develops the essential skills necessary to provide the best possible pediatric acute care Discusses the most appropriate differential diagnoses, diagnostic evaluation, and management plans for each case Presents cases related to pulmonary, cardiac, neurologic, endocrine, metabolic, musculoskeletal, and other body systems Highlights key points in each case to quickly identify critical information Cases in Pediatric Acute Care is an excellent resource for advanced practice provider students and pediatric healthcare providers managing acutely ill children.
Prehospital Care Of Neurologic Emergencies
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Author : Todd Crocco
language : en
Publisher: Cambridge University Press
Release Date : 2014-07-24
Prehospital Care Of Neurologic Emergencies written by Todd Crocco and has been published by Cambridge University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-07-24 with Medical categories.
This concise practical book is a reliable and definitive resource for emergency medical services personnel at multiple levels.
Pathophysiology Of Headaches
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Author : Messoud Ashina
language : en
Publisher: Springer
Release Date : 2015-04-14
Pathophysiology Of Headaches written by Messoud Ashina and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015-04-14 with Medical categories.
This book provides a detailed overview of the current state of knowledge regarding the pathophysiology of both primary headaches – migraine, tension-type headache (TTH), and cluster headache – and the very important and frequent type of secondary headache, medication overuse headache (MOH). After an introductory chapter describing relevant neuroanatomy and vascular anatomy, the evidence gained from animal models regarding the pathophysiology of migraine and the other primary headaches is reviewed. Knowledge of the genetic component in the different types of headache is then examined with reference to recent evidence, for example regarding the implication of the trigeminovascular system and cortical spreading depression in migraine. Detailed information is provided on insights into primary headaches from imaging studies, including functional magnetic resonance imaging and positron emission tomography and on their neurophysiology and biochemistry. A further series of important chapters describe present knowledge of the pathophysiology of each specific type of headache and consider future directions. Written by acknowledged experts in their fields from Europe and the United States, clinicians and students will find Pathophysiology of Headaches to be an excellent source of up-to-date information on why patients experience headaches. In addition, it will be of value for pain researchers investigating the underlying mechanisms of headache.
Common Pitfalls In The Evaluation And Management Of Headache
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Author : Elizabeth W. Loder
language : en
Publisher: Cambridge University Press
Release Date : 2014-04-10
Common Pitfalls In The Evaluation And Management Of Headache written by Elizabeth W. Loder and has been published by Cambridge University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-04-10 with Medical categories.
Discussing real-world cases, this practical guide highlights areas of diagnostic uncertainty and shows common pitfalls in headache diagnosis and treatment.
Headache And Migraine Biology And Management
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Author : Seymour Diamond
language : en
Publisher: Academic Press
Release Date : 2015-03-13
Headache And Migraine Biology And Management written by Seymour Diamond and has been published by Academic Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015-03-13 with Science categories.
There are two crucial issues in the treatment and management of headache patients: More than 50% of individuals experiencing headache have only been treated symptomatically, with no appropriate diagnosis established; and history and neurologic examination are essential to establishing a diagnosis, and thus selecting appropriate therapy. Headache and Migraine Biology and Management is a practical text that addresses these issues, featuring contributions from expert clinical authors. The book covers in detail topics including chronic and episodic migraine, post-traumatic headache, sinus headache, cluster headache, tension headache, and others. Chapters are also dedicated to treatment subjects, including psychiatric and psychological approaches, medication overuse, inpatient treatment, and pediatric issues. This book is an ideal resource for researchers and clinicians, uniting practical discussion of headache biology, current ideas on etiology, future research, and genetic significance and breakthroughs. This resource is useful to those who want to understand headache biology, treat and manage symptoms, and for those performing research in the headache field. A practical discussion of headache biology, current ideas on etiology, future research, and genetic significance and breakthroughs Features chapters from leading physicians and researchers in headache medicine Full-color text that includes both an overview of multiple disciplines and discusses the measures that can be used to treat headaches