1. NICE In My Practice ABDUL-RAHMAN GOMAA PCMD - YEAR 5 10 TH JUNE 2015

2. Why? Intelligent health and social care search engine Well compiled high quality relevant content Accessible to everyone

3. When? Can help with answering clinical uncertainties Empowering patients To stay up to date

4. Case 1 19 Female Presented with a 6 hour of one sided headache and aura Recently diagnosed with migraine by GP and started on 5mg amitriptyline Otherwise, fit and well. Dilemmas: 1- How would we manage the acute migraine episode?

5. Case 1

6. 19 Female Presented with a 6 hour of one sided headache and aura Recently diagnosed with migraine by GP and started on 5mg amitriptyline Otherwise, fit and well. Dilemmas: 1- How would we manage the acute migraine episode? 2- How can we prevent further episodes?

7. Case 1

8. Case 1 - Outcome Acutely Long-term

9. Case 2 47 Female Presented with a 2 day history of nasal congestion and facial discomfort. Tried intranasal decongestant which didn’t help. Had a similar episode last year, was prescribed antibiotics “which cleared her nose immediately” Otherwise, fit and well. Questions: Should we prescribe antibiotics?

10. Case 2

11. Case 2 - Outcome Immediately Long-term?

12. Questions

13. Thank you AGOMAA@NHS.NET