Bash Guidelines Slides

Guidelines for all doctors in the diagnosis and management of Migraine and Tension-Type Headache Writing Committee: T.J. Steiner E.A. MacGregor P.T.G. Davies 2004

Headache in the UK ,[object Object],[object Object],[object Object],[object Object]

Migraine in the UK ,[object Object],[object Object],[object Object],[object Object]

Tension-type H eadache (TTH) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

British Association for the Study of Headache (BASH) ,[object Object],[object Object],[object Object],[object Object]

British Association for the Study of Headache (BASH) ,[object Object],[object Object]

The International Headache Society Classification ,[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],IHS Classification Primary Headaches

IHS Classification Secondary Headaches ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Patient history The key to diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],* Assuming a condition requiring urgent attention has already been ruled out

Headache history Key questions ,[object Object],[object Object],[object Object],[object Object],[object Object]

Migraine Diagnostic Pointers ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

IHS diagnostic criteria Migraine without aura* ,[object Object],[object Object],* In children, attacks may be shorter; also more commonly bilateral and GI disturbance is more prominent

Diagnosis Migraine with aura ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

‘ Diagnosis’ by treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Tension-type Headache (TTH) ,[object Object],[object Object],[object Object],[object Object]

Chronic Daily Headache ( CDH ) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Medication Overuse Headache (MOH) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Cluster Headache (CH) ,[object Object],[object Object],[object Object],[object Object],[object Object]

Physical examination of headache patients ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Serious cause of headache 1 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Serious cause of headache 2 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Serious cause of headache 3 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Migraine Management Overview ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Migraine Management Overview ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Migraine Predisposing Factors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Migraine Trigger Factors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Migraine Acute Drugs ,[object Object],[object Object]

Migraine Acute Drugs 1 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Migraine Acute Drugs 2 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Migraine Acute Drugs 3(i) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Migraine Acute Drugs 3(ii) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Migraine Acute Drugs 4 ,[object Object],[object Object],[object Object]

Migraine Emergency Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Migraine Repeated Relapse ,[object Object],[object Object],[object Object],[object Object],[object Object]

Migraine Prophylactic Drugs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Migraine Prophylactic Drugs 1 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Migraine Prophylactic Drugs 2 ,[object Object],[object Object],[object Object],[object Object],[object Object]

Migraine Prophylactic Drugs 3 ,[object Object],[object Object],[object Object],[object Object]

Migraine Prophylactic drugs 4 ,[object Object],[object Object],[object Object],[object Object]

Migraine Menstrual attacks ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Migraine HRT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Migraine Non-drug Intervention ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Tension-type Headache (TTH) Management ,[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Tension-type Headache (TTH) Management

Co-existing Headaches Management ,[object Object],[object Object],[object Object],[object Object],[object Object]

BASH Guidelines Effects of Implementation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

BASH Guidelines Effects of Implementation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Audit Judging Effectiveness ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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