S2D: The Symptom to Diagnosis Podcast Headache
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Jan 27, 2021 The podcast discusses the diagnostic process for a persistent headache, strategies for managing headaches, misconceptions about headaches and brain tumors, clinical examination practices, differentiation of migraine headaches, and caffeine withdrawal headaches.
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The Case of the Mysterious Headache
- A 25-year-old man woke up with a headache, vomited, and felt unwell.
- His physician wife initially dismissed it but later became concerned, leading to an urgent appointment.
When to Image New Headaches
- Consider CNS imaging for new headaches with neurological abnormalities or atypical auras.
- Headaches that wake patients from sleep should also raise concern and may warrant imaging.
Categorizing New Headaches
- Categorize new headaches as thunderclap, cough, exertional, or sexual to narrow the differential diagnosis.
- Consider infectious causes, visual changes, and substance use as potential headache triggers.