Template:HA red flags: Difference between revisions
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'''Features''' | '''Features''' | ||
*Sudden onset or accelerating pattern | *Sudden onset or accelerating pattern | ||
*Worse with valsalva | |||
*Worse in the morning or at night | |||
*No similar headache in past | *No similar headache in past | ||
*Age >50 yr or <5 yr | *Age >50 yr or <5 yr | ||
| Line 19: | Line 21: | ||
*Cancer | *Cancer | ||
*Immunosuppression | *Immunosuppression | ||
*[[Seizure (peds)|Seizure]] | |||
*[[Syncope]] | *[[Syncope]] | ||
*Trauma | *Trauma | ||
Revision as of 12:25, 1 July 2019
Headache Red Flags
Features
- Sudden onset or accelerating pattern
- Worse with valsalva
- Worse in the morning or at night
- No similar headache in past
- Age >50 yr or <5 yr
- Occipitonuchal HA
- Visual disturbances
- Exertional or postcoital
- Family history of SAH or cerebral aneurysm
- 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