Revenge of the Cluster Headache
Medgeeks with Andrew Reid
Medgeeks
4.8 • 997 Ratings
🗓️ 28 February 2022
⏱️ 12 minutes
🧾️ Download transcript
Summary
Cluster headaches are one of the most painful headaches and can lead to severe debilitation!
In this episode we will review major risk factors, major organ systems associated with the headaches, and the two variants. Then we'll discuss how to diagnose cluster headaches and provide recommendations for treatment options for your patient.
This is our final episode in our trilogy on headaches. Though there are numerous kinds of headaches, the three we have discussed as a part of this trilogy are the most common. They are also the most likely to show up in your office or ER and are definitely ones that will appear on your boards.
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We just put together a brand new course for primary care clinicians, which we're looking to give away for free!
If you're a PA or NP working primary care (you can't be a student) and are willing to give us feedback on the material, here's how you can get full access to this free course:
https://www.medgeeksmentorship.co/primarycare
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Our goal at Medgeeks is to help you live the life you want to live as you navigate a career in medicine.
This looks different to everyone, which is why we take such a personalized approach.
Whether you want to ...
- Stop taking your work home
- Have the skillset to work autonomously
- Improve your work life balance
...or anything in between, we can definitely help.
We've worked with thousands of physician assistants and nurse practitioners working in Primary Care since 2013 and we're confident we can help take your career and life to the next level. If you're working in primary care, you can learn more about our mentorship opportunities here:
https://www.medgeeksmentorship.co/application
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Learn more about who we are here:
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Check out our free Facebook group, where we share daily clinical pearls, advice, and practice changing updates:
Transcript
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| 0:00.0 | Headaches have been reported since the ancient times, |
| 0:02.4 | with evidence of treatment going back as early as 7,000 BC. |
| 0:06.3 | You've heard about boreholes or small holes that were intentionally drilled |
| 0:10.1 | through the brain, and they also have actually been found in the skulls of mummies from ancient |
| 0:14.4 | Egypt which were believed to be close to 6,000 years. We heard about burholes in the last |
| 0:19.8 | podcast we did but let's fast forward to the late 1800s where Sir William Gower first |
| 0:26.1 | described headache treatments to be one of two modalities, abortive or preventive. |
| 0:31.2 | If that name Gower sounds familiar to you, it's because he was the first to describe Gower's sign, |
| 0:36.5 | which is seen in Deshaines muscular dystrophy. Headaches play a big role in history. |
| 0:41.2 | A Dutch physician named Nicholas Tulp in 1631 first described cluster headaches and Gerald |
| 0:48.0 | Van Sweeten described the disease that would meet all the international classification of headache |
| 0:52.5 | disorders criteria in 1745. Now the name Nicholas Tult may not |
| 0:57.3 | hold a lot of special place for you, but it did for me simply because of the |
| 1:01.2 | fact that I had a hard time with pronouncing it. |
| 1:04.0 | It took me multiple takes of this podcast because I kept calling him Tulip. |
| 1:08.0 | No matter how many times I was corrected, I just couldn't say it correctly. |
| 1:11.7 | So this is probably the ninth time |
| 1:13.5 | I'm actually telling this story about Nicholas Tulp. |
| 1:16.4 | To give you an idea how frustrating it was, |
| 1:18.6 | remember Phoebei trying to teach Joey Tribiani French? |
| 1:21.8 | I was no better. I don't know why it was so difficult for me to |
| 1:24.8 | pronounce Tulp Wren rather than Tulip. Perhaps I really just love Tullips or maybe it's because I don't want this |
... |
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