Avtor/Urednik		Kolšek, Marko
Naslov		Sekundarni glavobol in družinski zdravnik
Prevedeni naslov		Secondary headache in general practice
Tip		članek
Vir		Med Razgl
Vol. in št.		Letnik 39, št. Suppl 9
Leto izdaje		2000
Obseg		str. 91-5
Jezik		slo
Abstrakt		Headache is a symptom that is very frequently encountered in general practice. Among general practice patients, the probability of it being caused by life-threatening processes is appro-matcly one percent. The most frequent types of headache are: headache during a febrile disease, psychosomatic headache, headache as part of cervical syndrome, headache in head organ disorders, medication-induced headache, posttraumatic headache, headache due to anemia, headache due to hypotension or hypertension. The selection of patients is critical for decision- making. A detailed medical history is important for diagnosis. The information obtained during the interview should determine the physical examination. In emergency conditions, the warning signs have to be considered. Invesdgations need a be performed either to confirm the suspected secondary cause or when the diagnosis is unclear. Treatment should be directed towards the underlying disease.
Izvleček		Glavobol je eden izmed najpogostejših simtomov, ki ga opisujejo bolniki v ambulanti družinske medicine. Med bolniki v ambulanti družinske medicine z novonastalim glavobolom je približno 1 % možnosti, da gre za življenjsko nevarno bolezen. Najpogostejši sekundarni glavoboli so: glavobol ob vročinskem obolenju, psihosomatski glavoboli, glavobol ob cervikalnem sindromu, glavobol ob spremembah organov v glavi, glavobol ob poškodbi glave, glavobol zaradi jemanja nekaterih zdravil, glavobol ob anemiji, glavobol ob hipotenziji in hipertenziji. Za ustrezno ukrepanje je ključnega pomena pravilna triaža. Za opredelitev glovobola je najpomembnejša ustrezna anamneza. Klinični pregled usmerjajo dobljeni podatki v razgovoru z bolnikom. Pri nevarnih vzrokih glavobola moramo biti pozorni na opozorilne znake. Za dodatne preiskave se odločimo, če potrebujemo potrditev suma na organski vzrok glavobola ali če diagnoza ni jasna kljub temeljiti anamnezi in kliničnem pregledu. Pri sekundarnih glavobolih praviloma zdravimo osnovno bolezen ali motnjo, ki povzroča glavobol.
Deskriptorji		HEADACHE PHYSICIANS, FAMILY MEDICAL HISTORY TAKING PHYSICAL EXAMINATION