A thorough examination focusing on neurological findings is often as important as the CT scan. Headache waking the patient up (NB: migraine is the most frequent cause of morning headache). Expert neurosurgical opinion on the presentation of sudden acute severe headache has been added to the 'Red Flags' section. Headache is a frequent presentation to the Emergency Department. Identifying red flags and common features is essential to safe management for serious diagnoses. Click on the image (or right click) to open the source website in a new …
Red flag symptoms: Headaches.
These images are a random sampling from a Bing search on the term "Headache Red Flag." “First and worst” is a common phrase used to describe red flag headaches.
These headache “red flags” include: Thunderclap Headache: very severe headache that reaches its maximum severity immediately (within a couple of minutes). Headache precipitated by physical exertion or Valsalva manoeuvre (eg, coughing, laughing, straining). “Red flag signs and symptoms include focal neurologic signs, papilledema, neck stiffness, an immunocompromised state, sudden onset of the worst headache in the patient’s life, personality changes, headache after trauma, and headache that is worse with exercise.” SNOOP: Red Flags for Headache Neurological red flag features. Headache onset with seizure or syncope (SAH). A clear and detailed history is often overlooked in order to expedite obtaining CT scans. Thunderclap headaches require emergent medical evaluation. October 2017 — revised. Positional Headache: headache that substantially changes in intensity in association with changes in position – e.g. Differentiate causes of primary and secondary headaches. Headache onset with exertion or sex.
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