Severe headache Flashcards
1
Q
Headache red flags
A
Papilloedema Seizures Focal neurological signs HIV Visual disturbances Postural change (worse lying down) Pregnancy N + V Previous hx of vasculitis DM Progressively worse Morning headache/waking from sleep Unilateral + eye pain Cough initiated headache Neck stiffness, fever Decreased consciousness
2
Q
First and worst headache
A
SAH
3
Q
Thunderclap
A
SAH
4
Q
Unilateral + eye pain
A
Cluster, acute glaucoma
5
Q
Unilateral + ipsilateral sx
A
Migraine, tumour, vascular
6
Q
Cough initiated
A
Raised ICP, venous thrombosis
7
Q
Worse in morning/bending forward
A
Raised ICP, venous thrombosis
8
Q
Scalp tenderness
A
GCA
9
Q
2 vital questions to ask in headache hx
A
Where have you been? (malaria)
Could you be pregnant? (pre-eclampsia)
10
Q
What are secondary headaches?
A
Raised ICP
Thunderclap headaches
Vascular problems
Sinusitis
