Template:HA red flags: Difference between revisions
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'''Features''' | '''Features''' | ||
*Sudden onset or accelerating pattern | *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 | *No similar headache in past | ||
*Age >50 yr or <5 yr | *Age >50 yr or <5 yr | ||
*Occipitonuchal | *Occipitonuchal headache | ||
*Visual disturbances | *[[Visual disturbances]] | ||
*Exertional or postcoital | *Exertional or postcoital | ||
*Family history of [[SAH]] | *Family or personal history of [[SAH]], cerebral aneurysm, or [[AVM]] | ||
*Focal neurologic signs | *[[focal neuro|Focal neurologic signs]] | ||
*Diastolic BP >120 | *[[hypertension|Diastolic BP >120]] | ||
*[[Papilledema]] | *[[Papilledema]] | ||
*Jaw claudication | *Jaw claudication | ||
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Headache in setting of: | Headache in setting of: | ||
*Infection | *[[Infection]] | ||
*Cancer | *Cancer | ||
*Immunosuppression | *Immunosuppression | ||
*[[Seizure (peds)|Seizure]] | |||
*[[Syncope]] | *[[Syncope]] | ||
*Trauma | *[[Trauma]] | ||
*[[Altered mental status]] | *[[Altered mental status]] | ||
*Systemic illness ([[fever]], stiff neck, rash) | *Systemic illness ([[fever]], stiff neck, rash) | ||
*[[Nausea/vomiting]] | *[[Nausea/vomiting]] | ||
*Patient on anticoagulation, steroids, NSAIDs | *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