Show Menu
Cheatography

Serious causes of HA, S&S and management

Brain Tumours

Triad
Other S&S
Headache
Nausea
Vomiting
Worse first thing in the morning
Convul­sions
Valsalva movements make it worse
 
new onset/­change in HA
 
Seizures
 
Confusion
 
Dysphagia
 
Motor Weakness
 
Person­ality Changes
 
Memory Loss

Triad in children

Dizziness
Headache
Vomiting

HEADSMART

 

Temporal Arteritis

S&S
Persistant unilateral throbbing over temporal region + scalp tenderness
Associated with PMR - look for bilateral inflam­matory signs over should­er/hip area
>50y
Severe burning - worse in morning & constant
Malaise, vague aches, pains, weight loss
ESR/CRP elevated

Mangement

Urgent referral (same day) to GP - risk of blindness
 

Thunde­rclap HA

S&S
Causes
Mana­gem­ent
Sudden, abrupt Headache - Reaches peak @ 1 hour
SAH
REFER IMMEDI­­ATELY TO HOSPITAL
"­­Worse Headache of their life"
Intrac­­ranial haematoma
DON'T LET THEM DRIVE
"­­Feels as though they are being hit on the back of the head"
Cerebral venous sinus thrombosis
Very Different type of Headache
Cervical Artery dissection
 
Ischaemic Stroke

Meningitis

S&S
Severe Headache
Neck Stiffness
High Fever
Altered Mental State
Photo/­Pho­nop­hobia

Mana­gem­ent

Refer immedi­ately to hospital - dial 999
CRP, FBC, blood cultures, lx puncture

Serious Signs of HA in Children

Present in the morning
Wakes Child at night
No PMHx
No Family Hx
Associated Poor health
Associated Neuro symptoms
Presents unilat­erally
       
 

Comments

No comments yet. Add yours below!

Add a Comment

Your Comment

Please enter your name.

    Please enter your email address

      Please enter your Comment.

          Related Cheat Sheets

          Lobes of the brain + intracranial disorders Cheat Sheet
          Common HA Cheat Sheet

          More Cheat Sheets by Siffi

          Causes of Facial Pain Cheat Sheet
          Lobes of the brain + intracranial disorders Cheat Sheet
          Otology Cheat Sheet