Diagnosing Headache in Primary Care: Red Flags
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- čas přidán 23. 07. 2024
- Patients who come into primary care for a headache are often worried that it’s something very serious - and it’s your job to know whether it is or not. Many headaches are nothing overly serious, but as a new grad, it can be hard to know just how concerned to be and what to do with your concern.
Let’s build your confidence and demystify some of the grey areas of headaches. In this video, we’ll cover:
✅ A simple tool that you can use to guide your visit, assessment, and plan
✅ Specific headache red flags, and what to do if you encounter them
✅ When to worry and what to worry about
✅ When to refer patients out
Headaches in a primary care setting can be confusing when you are getting started, but the more you see and the more you manage, the more clarity that you will gain. Use these tips to prepare for your next headache patient and be confident in your assessment, treatment, and referral.
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SNOOP10 acronym:
Systemic symptoms including fever
Neoplasm history
Neurologic deficit (including decreased consciousness)
Onset is sudden or abrupt
Older age (onset after age 50 years)
Pattern change or recent onset of new headache
Positional headache
Precipitated by sneezing, coughing, or exercise
Papilledema
Progressive headache and atypical presentations
Pregnancy or puerperium
Painful eye with autonomic features
Post-traumatic onset of headache
Pathology of the immune system such as HIV
Painkiller (analgesic) overuse (eg, medication overuse headache) or new drug at onset of headache
Link to headache diary: headaches.org/wp-content/uplo...
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Please note: This video is intended only for medical providers and students learning to be medical providers.
While anyone is welcome to view, for legal and safety reasons, we are unable to diagnose, treat, or answer medical questions for individuals through this channel. We always refer individuals back to their primary care providers for medical care.
If you’re a medical provider or student and have specific patient cases you have questions about, I cannot answer those here but would love to help you inside our mentorship program! Join the waitlist at www.realworldnp.com/mentoring.
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It's been my experience to also always differentiate between headache and head pain, like occipital neuralgia head pain vs typical headache pain
That is a great strategy as well.
Great info, thanks!
Glad it was helpful!
That is really helpful thanks xx
So glad it was helpful!
Excellent! Really helpful. Thanks
Glad it was helpful!
Thanks so much . SNNOOP is a great acronym- if it is possible can you please point to me a reference for this acronym please?
S- Systemtic Symptoms- fever, weight loss, muscle stiffness/
Secondary Risk- cancer, immunocompromised
N- Neurological Symptoms
O- Onset: acute onset > risk
O- Older > 50 years old
P-Positional: changes in HA with standing vs lying
Prior HA- hx of migraine
Papilledema- visual changes