Physiology

Pain Physiology

Approach

Focused Hx

Have you had any headaches before? Is this one of the worst headaches of your life?

• Sudden onset of a severe headache suggests the possibility of an intracranial hemorrhage.
  • Thunderclap headache

*Note: RF in kids is for Migraine

• HPI
• Associated symptoms
• Additional Questions

Physical Exams

Etiology DDx

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!Red Flag (must not miss)

The secondary headache disorders:

• SNOOP4 (Red Flags)

Pediatric RF

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Secondary Headache Disorders (Gradual)

Secondary Headache Disorders (Acute)

Primary Headache Disorders

Work-up