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Broome Docs Podcast: Headaches in primary care with Minh and Gerry

This podcast is all about the diagnostic approach to headaches, the red-flags, but more about the common primary headaches syndromes that we see in office-based GP.

For your reference – go back and check out the PHARM podcast on the severe headache in ED setting – but this one is more about the chronic or recurrent headache which is one of the commonest symptoms we see in practice.

Dr Minh Le Cong in Cairns (@rfdsdoc) and Dr Gerry Considine in the Adelaide hills (S.A) (@ruralflyingdoc ) join me over the ether to discuss all things headache in primary care.

Apologies: the audio background is the result of tropical cyclone Rusty’s shoulder bashing into the window of my office.  But that is life in beautiful Broome during the monsoon!

Enjoy

Here are a few references from the show that we mentioned:

POUNDing criteria: POUNDing (Pulsating, duration of 4-72 hOurs, Unilateral, Nausea, Disabling)

Dexamethasone for migraine recurrence: the NNT review of the evidence 

Ondansetron might be bad for migraine.  FDA have issued a warning.  When you read te packet information you see that in the chemotherapy setting the commonest minor side effect of ondansteron is in fact a headache – so maybe this makes it a poor choice for treating a migraine?  I think we need a trial, but for now I am using a dopaminergic agent first line.

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