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KMID : 0614720100530090807
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Journal of Korean Medical Association
2010 Volume.53 No. 9 p.807 ~ p.814
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Diagnosis and treatment of headache in primary practice: a brief review
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Kim Yong-Jae
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Abstract
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Headache is a common symptom, often associated with disability, but rarely life threatening. However, even disabling migraine is under-diagnosed and under-treated. There are no diagnostic tests for migraine or tension-type headaches, and the history is all-important. A headache history requires time to elicit and a simple and helpful stratagem when the patient first presents in a clinic is to request the keeping of a diary over a few weeks. The pattern of attacks is a very helpful indicator of the right diagnosis. It must be ascertained first that a condition requiring more urgent intervention is not present. In this brief review, the crucial elements of a headache history are presented in detail, and key principles of treatment are described.
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KEYWORD
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Headache, Migraine, Diagnosis, History
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