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Prioritize Imaging Over Labs
- With red flag headache symptoms, prioritize a brain scan (CT or MRI) over labs.
- Lab workup can come later; immediate imaging is crucial.
Imaging Choices
- For subtle cases, consider an MRI if the patient is stable and sedation is feasible.
- Otherwise, a non-contrast CT is usually sufficient to rule out serious issues.
ED Lab Workup
- Get a renal panel and CBC in the ED for patients with concerning headaches.
- These labs help assess hydration and provide baseline values for potential surgery.