https://ideawaza.com/api.php?action=feedcontributions&feedformat=atom&user=194.176.0.0%2F16 2026-10-02T19:17:04Z User contributions MediaWiki 1.46.0 https://ideawaza.com/index.php?title=Archive:Headache_assessment&diff=44846 2009-03-21T17:08:10Z

<p>194.176.105.40: /* More SEVERE and FREQUENT headaches (worst headache ever) */</p> <hr /> <div>==HPI==<br /> *FIRST or WORST headache ever?<br /> *DIFFERENT from usual headaches?<br /> <br /> *Onset = when did it start? <br /> **gradual, sudden (thunder-clap)<br /> *Palliation/Provokative<br /> ** stress, food, menstrual cycle, rest<br /> *Quality<br /> **unilateral, bilateral, band-like? <br /> **does it spread?<br /> **throbbing, stabbing, dull, pressure<br /> *Radiation<br /> **where does it spread?<br /> *Severity<br /> **Nausea/vomiting<br /> **photo/phonophobia<br /> **vision changes<br /> **fever<br /> **stiff neck<br /> **confusion<br /> <br /> =='''RED FLAGS OF SERIOUS HEADACHES'''==<br /> <br /> ===New onset===<br /> *headaches beginning at age 40 <br /> **mass lesion, temporal arteritis<br /> <br /> ===More SEVERE and FREQUENT headaches (worst headache ever)===<br /> *mass lesion, subdural hematoma, medication overuse, post-coital headache/migraine<br /> <br /> ===SUDDEN onset (maximal at onset - no increase over time)===<br /> *SAH, mass lesion (especially in the posterior fossa)<br /> *new onset in patient with risk factors for HIV or CANCER<br /> **meningitis, brain abscess, metastasis<br /> <br /> ===headache ASSOCIATED with===<br /> *fever (meningitis, encephalitis, systemic infection)<br /> *projectile vomiting<br /> *impaired mental status<br /> *focal neurological signs - weakness, paresthesia (mass lesion, stroke)<br /> *recent head injury<br /> *papilledema (mass lesion, pseudotumor, meningitis)<br /> *meningismus (meningeal irritation)<br /> *seizures<br /> *trauma (intracranial hemorrhage, subdural/epidural hematoma, SAH)<br /> <br /> ==PMHx==<br /> *hypertension<br /> *HIV<br /> *cancer<br /> *trauma<br /> *recent procedures<br /> <br /> ==Medication==<br /> <br /> ==Family history==<br /> ==Other OSCE modules==<br /> {{OSCE2}}<br /> [[Category: Neurology]][[Category:OSCE]][[Category: Clinical Skills]]</div>

194.176.105.40