Template:HA red flags: Difference between revisions
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===[[Headache]] Red Flags=== | |||
'''Features''' | '''Features''' | ||
*Sudden onset or accelerating pattern | |||
*Maximum intensity of pain at onset (i.e. "thunderclap") | |||
*Worse with valsalva | |||
*Worse in the morning or at night | |||
*No similar headache in past | |||
*Age >50 yr or <5 yr | |||
*Occipitonuchal headache | |||
*[[Visual disturbances]] | |||
*Exertional or postcoital | |||
*Family or personal history of [[SAH]], cerebral aneurysm, or [[AVM]] | |||
*[[focal neuro|Focal neurologic signs]] | |||
*[[hypertension|Diastolic BP >120]] | |||
*[[Papilledema]] | |||
*Jaw claudication | |||
'''Clinical Context''' | '''Clinical Context''' | ||
Headache in setting of: | Headache in setting of: | ||
*[[Infection]] | |||
*Cancer | |||
*Immunosuppression | |||
*[[Seizure (peds)|Seizure]] | |||
*[[Syncope]] | |||
*[[Trauma]] | |||
*[[Altered mental status]] | |||
*Systemic illness ([[fever]], stiff neck, rash) | |||
*[[Nausea/vomiting]] | |||
*Patient on [[anticoagulation]], [[steroids]], [[NSAIDs]], [[antiplatelet]] | |||
Latest revision as of 22:51, 29 April 2020
Headache Red Flags
Features
- Sudden onset or accelerating pattern
- Maximum intensity of pain at onset (i.e. "thunderclap")
- Worse with valsalva
- Worse in the morning or at night
- No similar headache in past
- Age >50 yr or <5 yr
- Occipitonuchal headache
- Visual disturbances
- Exertional or postcoital
- Family or personal history of SAH, cerebral aneurysm, or AVM
- Focal neurologic signs
- Diastolic BP >120
- Papilledema
- Jaw claudication
Clinical Context
Headache in setting of:
- Infection
- Cancer
- Immunosuppression
- Seizure
- Syncope
- Trauma
- Altered mental status
- Systemic illness (fever, stiff neck, rash)
- Nausea/vomiting
- Patient on anticoagulation, steroids, NSAIDs, antiplatelet