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Headache Diagnosis and Management

You'll be able to classify common and secondary headache disorders, spot red flags that warrant imaging or urgent referral, and select evidence-based acute and preventive treatment.

What this track covers

This track covers the diagnostic approach to headache using ICHD-3 criteria, distinguishing primary disorders like migraine, tension-type, and cluster headache from secondary causes that need urgent workup. It also covers acute and preventive treatment selection, including when medication overuse becomes a driver of chronic symptoms.

What you will practice

  • Differentiate migraine, tension-type, and cluster headache using history alone
  • Recognize red flags (thunderclap onset, neuro deficits, fever, age of onset) that change the workup
  • Decide when imaging or urgent referral is indicated versus outpatient management
  • Choose an acute treatment strategy based on attack severity and patient history
  • Identify medication overuse patterns and outline a de-escalation approach

Simulator scenario

A patient presents with a new, severe headache and subtle exam findings, and the clinician must decide in real time whether this is a primary headache disorder or a secondary cause requiring emergent workup.

Board question topics

  • ICHD-3 classification of primary headache disorders
  • Recognizing secondary headache red flags
  • Stratified approach to acute migraine treatment
  • Preventive therapy selection and medication overuse patterns

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