Serious causes of HA, S&S and management
Worse first thing in the morning
Valsalva movements make it worse
new onset/change in HA
Triad in children
Persistant unilateral throbbing over temporal region + scalp tenderness
Associated with PMR - look for bilateral inflammatory signs over shoulder/hip area
Severe burning - worse in morning & constant
Malaise, vague aches, pains, weight loss
Urgent referral (same day) to GP - risk of blindness
Sudden, abrupt Headache - Reaches peak @ 1 hour
REFER IMMEDIATELY TO HOSPITAL
"Worse Headache of their life"
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
Altered Mental State
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 Family Hx
Associated Poor health
Associated Neuro symptoms
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