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Consult Request Guidelines
for Chronic sinus headaches
Chronic sinus headaches
Suggested Pre-Referral Evaluation and Management Guidelines
Evaluate for migraine
Suggested Additional Test/Management Prior to Specialty Visit
Evaluate for analgesic rebound headache; discontinue all caffeine and analgesics; consider neurology referral if no pursuant sinus infections
Patient Education/Information (includes preps)
Most severe headaches are due to migraines, not sinus infections
Next available appointment
How to Get Results to Consultant
UMHS Patients: See MiChart
External Patients: hand carry reports/records/films to visit
Clinic Contact Information
Clinic Location Sites
Michigan Sinus Center at Livonia Center for Specialty Care
Endoscopic Sinus Surgery at Taubman Health Care Center
UM Consulting Physician
Melissa Pynnonen, M.D.
Jeffrey Terrell, M.D.
Mark A Zacharek, M.D.