Headache Management: A Case-Based Approach

Headache is a common pain condition worldwide. It is important for physicians evaluating adult patients with acute headache to determine whether the condition is benign or if it indicates dangerous neurologic or systemic pathology. The most common types of headaches are tension-type headaches, migraines, and cluster headaches, which affect approximately 40 percent of the adult population, respectively. This course will explain the warning signs associated with secondary headaches, diagnostic criteria of migraine and general principals of acute and preventive treatment for headaches. 

 

 

Target Audience

Family Physicians, General Internists, Hospitalists, Respiratory Therapists, Pharmacists, Nurses, Nurse Practitioners and Physician Assistants.

Learning Objectives

  • Describe the warning signs associated with serious secondary headaches.
  • Explain the diagnostic criteria of migraine, and recognize its various forms and patterns. 
  • Examine the general principles of acute and preventive treatment for headaches.
  • Identify and assess the effectiveness of therapeutic interventions in headache management.
Additional information
Bibliography: 
  • Hainer, Barry L., and Eric M. Matheson. "Approach to acute headache in adults." American family physician 87.10 (2013).
  • Olesen, Jes. "The international classification of headache disorders." Headache: The Journal of Head and Face Pain 48.5 (2008): 691-693.
  • To define CM, we used Silberstein-Lipton criteria, which are essentially ICHD-3.....Lipton RB, Kolodner K, Bigal ME, et al ... Cephalalgia 2009; 29: 751–759. 
  • Dodick DW. Adv Stud Med 2003; 3(2): 87–92 Lynch KM, Brett F. Cephalalgia 2012; 32(13): 972–978. De Luca GC, Bartleson JD. Semin Neurol 2010; 30(2): 131–144. Grosberg BM, Friedman BW, Solomon S. Neurology in Practice Series 2013; (chapter 2): 28–38.
  • Detsky ME, McDonald DR, Baerlocher MO, et al. JAMA 2006; 296(10): 1274–1283. Sobri M, Lamont AC, Alias NA, Win MN. Br J Radiol 2003; 76(908): 532–535. Edlow JA, Panagos PD, Godwin SA, et al. Annals of Emergency Medicine 2008; 52(4): 407–436. 
  • Douglas AC, Wippold FJ, Broderick DF, et al. J Am Coll Radiol 2014; 11(7): 657–667.
  • Silberstein SD, et al, Neurology 2012. Holland S, et al, Neurology 2012.
Course Summary
Available credit: 
  • 1.00 ABIM MOC II
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 General certificate of attendance
  • 1.00 Nurse Practitioners
  • 1.00 Florida Board of Nursing
  • 1.00 Florida Board of Pharmacy
  • 1.00 Florida Board of Respiratory Therapy
Course opens: 
08/11/2016
Course expires: 
08/01/2018

Brian M. Grosberg, M.D. 
Director, Hartford Healthcare Headache Center
West Hartford, Connecticut 

Brian M. Grosberg, M.D., indicated that neither he nor his spouse/partner has relevant financial relationships with commercial interest companies, and he will include off-label or unapproved product usage in his presentations or discussions.

Non-faculty contributors and others involved in the planning, development, and editing/review of the content have no relevant financial relationships to disclose.

Disclosure Policy and Disclaimer

Baptist Health South Florida is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Baptist Health has been re-surveyed by the ACCME and awarded Commendation for 6 years as a provider of CME for physicians.
             
Baptist Health South Florida designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

ABIM MOC  

Successful completion of this CME activity enables the participant to earn up to 1.0 MOC point in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC points.

Your participation information will be shared with the ACCME, which will in turn report your points to ABIM. Successful completion of a course examination is required to earn ABIM MOC points.

 

 

Available Credit

  • 1.00 ABIM MOC II
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 General certificate of attendance
  • 1.00 Nurse Practitioners
  • 1.00 Florida Board of Nursing
  • 1.00 Florida Board of Pharmacy
  • 1.00 Florida Board of Respiratory Therapy
Please login or register for a Baptist Health CME account to take this course.

Required Hardware/Software

This site is best viewed on the two most recent stable releases of the following browsers for all public pages:

PCs Running Windows

  • Google Chrome (Preferred): Download free web browser for PC, Mac, phone and tablet. 
  • Internet Explorer (IE 11 and above recommended): You will be prompted to download videos before you are able to view. Click “download” to view video.  After a momentary pause, the recording will play. 
  • Mozilla Firefox: You may be prompted under the “This Connection is Untrusted” screen to add “cmeonline.baptisthealth.net” and “cdn.baptisthealth.net” under “add exceptions”.

Apple Computers Running OSX

  • Google Chrome (Preferred): Download free web browser for PC, Mac, phone and tablet. 
  • Safari
  • Mozilla Firefox: You may be prompted under the “This Connection is Untrusted” screen to add “cmeonline.baptisthealth.net” and “cdn.baptisthealth.net” under “add exceptions”.

This site uses a responsive design, which allows the page layout of elements to change depending on the screen resolution. Certain functionality may change based on the screen resolution of smaller screens, such as the number of columns in a table.

Technical Support: If you are experiencing technical difficulties or have received an error message, please send an email to CME@BaptistHealth.net and include a print screen of the error message, your browser name and version, username and URL where the error occurred. You can expect a response within 48 hours.