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
7)
Immunosuppression
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 MRI, or MRA/V if headaches are severe and new in last several months, check WESR for new HA in elderly
Patient Education/Information (includes preps)
Counsel about regular eating and sleep habits, handling stress, and eye exams.
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
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