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Consult Request Guidelines
for Headache

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Suggested Pre-Referral Evaluation and Management Guidelines
Consider the following possibilities:
1)Hormonal changes (e.g., recent OCPs, pregnancy)
2)Caffeine or analgesic overuse
3)Uncontrolled HTN
4)New medications (vasodilators, stimulants)
5)Obstructive Sleep Apnea
6)Vision changes
Suggested Additional Test/Management Prior to Specialty Visit Treat with at least one abortive and prophylactic medication, and consider treatment of any relevant conditions. Consider CT, or MRA/V if headaches are severe and new in last several months.

Check WESR and CRP for new HA in elderly.
Patient Education/Information (includes preps)
1) Counsel about regular eating and sleep habits, handling stress, and eye exams.
2) Headaches
Migraine Headache
Sinus Headache
Tension Headache
Appointment Timeframe Next available general clinic appointment
How to Get Results to Consultant UMHS Patients: See MiChart
External Patients: Hand carry non-UM records and MRI films to visit
Clinic Contact Information Physicians: 800-962-3555
Patients: 734-936-9020
Clinic Location Sites Taubman Health Care Center
UM Consulting Physician General Neurology Faculty
Revised on: 10/01/2012

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