headache Flashcards
1
Q
ddx of headache
A
tension migraine raised icp eye strain infection sinusitis meningigits/encephalitits subarachnoid haemorrhage
2
Q
CF of tension headache
A
band like, non pulsatile
worse end of day
precipitated by stress
3
Q
CF of migraine
A
in paeds not often unilateral or associated with aura photophobia phonophobia prefer to lie in dark fam hx relevied by sleep vomititng
4
Q
CF raised ICP
A
worse in morning
not releived by sleep
vomit
focal neurological sx
5
Q
red flags for headache
A
<3yo pain severe, worse on lying, morning pain, unilateral focal neurological sx vomiting devental regression HTN
6
Q
mx
A
any red flags admit
simple headache - reassurance - minimise missing school - address stressors - simple analgesia \+/- ondansetron if required
migraine
>12yrs aspirin and chlopromazine
<12yrs ibuprofen adn chlorpromazine
