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Headache characteristics warranting prompt evaluation

Headache characteristics warranting prompt evaluation
  • Headache with altered mental status, seizures, papilledema, changes in vision, stiff neck, weakness, or focal neurological signs/symptoms
  • Sudden onset of severe headache ("worst headache of my life")
  • New-onset of migraine-type headache
  • Headache in an immunosuppressed patient
  • Change in headache characteristics (eg, pain, pattern, severity) from usual headaches
  • Headache associated with/precipitated by fever, head trauma, nonprescription drug use, toxic exposure, cough, exertion, sexual activity, or Valsalva maneuver
  • Headache that awakens the patient from sleep
  • Headache unrelieved by pain medication
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