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 with valsalva | ||
*Worse in the morning or at night | *Worse in the morning or at night | ||
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