Headache: Difference between revisions
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(Created page with "== Red Flags == {| class="wikitable" |+ ! !Red Flag !Clinical Features !Etiologies to Exclude |- |S |Systemic signs, symptoms, or disease |fever, weight loss, HIV, immunosuppression, malignancy, pregnancy, or postpartum |metastatic disease, CNS infection, CVST, RCVS, IIH |- |N |Neurologic signs or symptoms |neurologic deficits or atypical or prolonged neurologic symptoms, or both |neoplastic, inflammatory, infectious, or vascular CNS disease |- |O |Onset (lat...") |
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Latest revision as of 17:46, 12 March 2023
Red Flags
Red Flag | Clinical Features | Etiologies to Exclude | |
---|---|---|---|
S | Systemic signs, symptoms, or disease | fever, weight loss, HIV, immunosuppression, malignancy, pregnancy, or postpartum | metastatic disease, CNS infection, CVST, RCVS, IIH |
N | Neurologic signs or symptoms | neurologic deficits or atypical or prolonged neurologic symptoms, or both | neoplastic, inflammatory, infectious, or vascular CNS disease |
O | Onset (late) | headache onset after age 50 years | neoplastic, inflammatory, or infectious CNS disease, giant cell arteritis |
O | Onset (sudden) | thunderclap headache with onset to maximum intensity in less than 60 seconds | subarachnoid hemorrhage, CVST, RCVS, arterial dissection |
P | Papilledema | optic disc swelling, with or without pulsatile tinnitus, diplopia, transient visual obscuration, and weight gain | increased intracranial pressure (mass lesion, hemorrhage, edema, CVST, IIH) |
P | Postural aggravation | headache triggered or worsened by standing up or lying down | intracranial hypotension or intracranial hypertension |
P | Precipitated by valsalva | headache triggered by valsalva (coughing, exercise, intercourse) | Chiari malformation, mass lesion in posterior fossa |
P | Pattern changing, or progressive | change in previously stable pattern of headache, or progressively worsening | any secondary cause |