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!
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.