approach to headache

headache

Before diagnosing a headache primary (migraine, cluster) you should consider whether their headache is secondary–including outside the brain, inside the brain, systemically, or head and neck

C: CARDIO

  • Outflow dissection: cervical artery dissection (carotid or vertebral)

D: NEURO

  • Neuron: seizure
  • Encephalitis/meningitis
  • Unregulated pressure: intracranial hypertension/hypotension
  • RBC bleed/clot: EDH, SDH, SAH, DSVT
  • Onco: tumour

E: ENDO

  • Electrolyte: hypontremia, hypoglycemia
  • hOrmones: pheo

F: PELVIC

  • Pregnant: pre-eclampsia

I: INTOX

  • Ingest: etoh withdrawl
  • Treatment: nitrate
  • X poison: carbon monoxide

J: joints, skin, bone

  • emergent: temoral arteritis, glaucoma, mastoiditis
  • less urgent: sinusitis, dental, TMJ, cervicogenic

headache

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