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Chief Complaint: Headache - Coggle Diagram
Chief Complaint: Headache
Acute
RED FLAGS: thunderclap, seizures, vision changes, vomiting, focal neuro findings, altered mental status, fever/nuchal rigidity, anti-coagulants, abnormal fundoscopic exam
Head CT scan
Normal
Lumbar Puncture/Cell count/Protein/Glucose/Bacterial and Viral PCR
Normal
MRI/MRA vs CTA
Abnormal
High WBCs, RBCs, Opening pressure
MRI/MRV
Normal
1 more item...
Abnormal
3 more items...
High WBCs + Positive Bacterial PCR/Culture
Meningitis
Abnormal
Mass
MRI
Enlarged ventricles
Ischemia
Herniations
Hemorrhage/Trauma
Chronic
Clinical Presentation
Migraines
recurrent attacks
more commonly unilateral
photophobia
phonophobia
nausea
vomiting
throbbing/pulsations
4 to 72 hrs
Tension- type Headache
Bilateral
non-throbbing
improves with rest
neck and jaw pain
muscle strain
no nausea/vomiting
Cluster headache
severe unilateral
sudden onset
periorbital
tearing
nasal congestion
Horner's Syndrome
occur in clusters over weeks/months
sharp, piercing pain