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Papers of the Week

2021 Feb

Emerg Med Clin North Am



Headache in the Emergency Department: Avoiding Misdiagnosis of Dangerous Secondary Causes, An Update.


Raam R, Tabatabai RR
Emerg Med Clin North Am. 2021 Feb; 39(1):67-85.
PMID: 33218663.


In the initial assessment of the headache patient, the emergency physician must consider several dangerous secondary causes of headache. A thorough history and physical examination, along with consideration of a comprehensive differential diagnosis may alert the emergency physician to the diagnosis of a secondary headache particularly when the history is accompanied by any of the following clinical features: sudden/severe onset, focal neurologic deficits, altered mental status, advanced age, active or recent pregnancy, coagulopathy, malignancy, fever, visual deficits, and/or loss of consciousness.