Headache Red Flags

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Sudden onset or accelerating pattern

No similar headache in past

Age > 50 years

Occipitonuchal HA

Visual disturbances

Exertional

Family history of SAH

Focal neurologic signs

Diastolic BP > 120

Papilledema

Jaw claudication


Headache in setting of:

1. Infection

2. Cancer

3. Immunosuppression

4. Syncope

5. Trauma

6. Altered mental status

7. Systemic illness (fever, stiff neck, rash)

8. Nausea/vomiting

7. Patient on anticoagulation, steroids, NSAIDs