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Clinical features of headache associated with serious pathology

Clinical features of headache associated with serious pathology
History
Explosive onset and severe at onset
No similar headaches in the past
Concomitant infection
Altered mental status or seizure
Associated with exertion (eg, exercise, sexual intercourse)
Age over 50 years
Immunosuppression (eg, HIV, chronic glucocorticoid therapy)
Visual disturbances
Pregnancy or postpartum state
Medications or illicit drugs (eg, anticoagulants, sympathomimetic agents)
Physical examination
Abnormal vital signs
Neurologic abnormalities
Decreased level of consciousness
Meningismus
Toxic appearance
Papilledema or other ophthalmologic findings
HIV: human immunodeficiency virus.
Graphic 78567 Version 3.0