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Headache Physical Exam
- Observe the child's appearance and behavior upon entering the room, noting light sensitivity.
- Perform a standard neurological exam with extra emphasis on the eye exam, looking for papilledema.
Imaging for Headaches
- Imaging is rarely necessary for headaches with a normal neurological exam.
- Abnormalities found on imaging in such cases are usually sinusitis or Chiari malformation.
Differentiating Migraines
- Migraine is suggested by episodic nature, throbbing quality, desire to lie down, and associated nausea.
- Duration of 2-4 hours also aligns with typical migraine presentation.