Diagnosis and Treatment of Headache. Main Algorithm.

[Diagnosis algorithm]

[Migraine Treatment algorithm]

[Tension-type Headache algorithm]

[Cluster Headache algorithm]

[Menstrual-associated Migraine algorithm]

[Perimenopausal/Menopausal Migraine algorithm]

[On Estrogen-Containing Contraceptives or Considering Estrogen-Containing Contraceptives Migraine algorithm]

[Migraine Prophylactic Treatment algorithm]

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Source: Institute for Clinical Systems Improvement (ICSI). Diagnosis and treatment of headache. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2007 Jan. 72 p. Diagnosis and Treatment of Headache Main Algorithm A = Annotation Diagnosis algorithm (See boxes 10-26) *Evaluate type of headache. *Take a detailed history and assess functional impairment. *Rule out causes for concern. *Consider secondary headache disorder. *Refer to specialist. Migraine is the most common headache disorder seen by primary care providers. Migraine Treatment algorithm (See boxes 27-57) *Categorize and select treatment based on severity and functional impairment. *Consider special treatment (including DHE) for status headache. *Patient education and lifestyle modifications. Tension-type Headache algorithm (See boxes 58-69) *Establish diagnosis. *Acute treatment. *Prophylactic treatment. *Patient education and lifestyle modifications. Cluster Headache algorithm (See boxes 70-82) *Establish diagnosis. *Acute treatment. *Prophylactic treatment. *Patient education and lifestyle modifications. Is patient a female? Menstrual-associated Migraine algorithm. (See boxes 101-113) Perimenopausal/Menopausal Migraine algorithm. (See boxes 114-124) On Estrogen-Containing Contraceptives or Considering Estrogen-Containing Contraceptives Migraine algorithm. (See boxes 125-136) Diagnosis and treatment of headache is a complex issue necessitating the considerable length and detail in this document. *Algorithms: Pages 1 - 10. *Annotations: Pages 15 - 42. *Drug Tables: Pages 43 - 51. A = Annotation Migraine Prophylactic Treatment algorithm. See boxes 137-147. All copyrights are reserved by the Institute for Clinical Systems Improvement, Inc.