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Adult headache algorithm
If not migraine/TT HA, check for uncommon HA syndromes.

If all of:
-freq HA
-brief (<3h)
-unilat, always same side
-ipsilat eye redness/tearing/restlessness during attacks

Then cluster HA or another trigeminal autonomic cephalagia:
-acute med
-prophy med
-early specialist referral

If all of
-unilat, same side
-dramatically responsive to indomethacin

Then hemicrania continua: specialist referral

if HA continuous since onset: new daily persistent HA - specialist referral
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Adult Headache Algorithm

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Headache Adult Headache Algorithm Subjective Objective Plan


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