Approach To: Headaches

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Tips:

  • Ask the right questions, and then ask them again a different way
  • Consider the “can’t miss diagnoses” for every patient
  • Don’t use “worst headache of life” for SAH.  Think: “SUDDEN onset. MAX at onset.”
  • History of migraine doesn’t mean the patient can’t have another serious pathology
  • Do a HA physical exam:  Neuro, CN, Eyes, Cerebellar

 

Another Headache Chart

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