Article Instance

HTTP 200 OK
Allow: GET
Content-Type: application/json
Vary: Accept

{
    "pk": 8511,
    "title": "Headache in Pregnancy: An Approach to Emergency Department Evaluation and Management",
    "subtitle": null,
    "abstract": "Headache is a common presenting complaint in the emergency department. The differential diagnosis is broad and includes benign primary causes as well as ominous secondary causes. The diagnosis and management of headache in the pregnant patient presents several challenges. There are important unique considerations regarding the differential diagnosis, imaging options, and medical management. Physiologic changes induced by pregnancy increase the risk of cerebral venous thrombosis, dissection, and pituitary apoplexy. Preeclampsia, a serious condition unique to pregnancy, must also be considered. A high index of suspicion for carbon monoxide toxicity should be maintained. Primary headaches should be a diagnosis of exclusion. When advanced imaging is indicated, magnetic resonance imaging (MRI) should be used, if available, to reduce radiation exposure. Contrast agents should be avoided unless absolutely necessary. Medical therapy should be selected with careful consideration of adverse fetal effects. Herein, we present a review of the literature and discuss an approach to the evaluation and management of headache in pregnancy [West J Emerg Med. 2015;16(2):291–301.]",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Headache in Pregnancy"
        },
        {
            "word": "Migraine in Pregnancy"
        },
        {
            "word": "Imaging in Headache"
        },
        {
            "word": "Imaging in Pregnancy"
        }
    ],
    "section": "Diagnostic Acumen",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/4fd5p8b2",
    "frozenauthors": [
        {
            "first_name": "Jessica",
            "middle_name": "C.",
            "last_name": "Schoen",
            "name_suffix": "",
            "institution": "Alpert Medical School of Brown University, Department of Emergency Medicine, Providence, Rhode Island",
            "department": "None"
        },
        {
            "first_name": "Ronna",
            "middle_name": "L.",
            "last_name": "Campbell",
            "name_suffix": "",
            "institution": "Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota",
            "department": "None"
        },
        {
            "first_name": "Annie",
            "middle_name": "T.",
            "last_name": "Sadosty",
            "name_suffix": "",
            "institution": "Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota",
            "department": "None"
        }
    ],
    "date_submitted": "2014-08-30T13:02:13Z",
    "date_accepted": "2014-08-30T13:02:13Z",
    "date_published": "2015-02-26T01:39:52Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/8511/galley/4909/download/"
        }
    ]
}