HEADACHE

Question 1

History & Physical

Answer 1

Ask about:
Acute onset
Fever
Stiff Neck
Morning vomiting
Behavioural Changes
AMS
Worst ever headache
Sleep disturbance
Trauma
Toxic Exposure
Aggravated by coughing, valsalva, laying down

HTN
Nuchal rigidity
Head Tilt
Ptosis
Retinal Hemorrhage
Papilledema
Visual field dfects
Neurological Findings

Question 2

Management: Primary Headaches

Answer 2

Ibuprofen 10 mg / kg
Acetaminophen 15 mg / kg

Question 3

Management: Migraines

Answer 3

Ketorlac 0.5 mg / kg IM
Metoclopramide 0.1 mg / kg
Diphenhydramine 1 mg / kg