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

Autor: Tabatabai RR; LAC+USC Emergency Medicine Residency, LAC+USC Medical Center, Keck School of Medicine of USC, 1200 North State Street, Room 1060E, Los Angeles, CA 90033, USA. Electronic address: tabatabai.usc@gmail.com., Swadron SP; LAC+USC Emergency Medicine Residency, LAC+USC Medical Center, Keck School of Medicine of USC, 1200 North State Street, Room 1060E, Los Angeles, CA 90033, USA.
Jazyk: angličtina
Zdroj: Emergency medicine clinics of North America [Emerg Med Clin North Am] 2016 Nov; Vol. 34 (4), pp. 695-716. Date of Electronic Publication: 2016 Sep 03.
DOI: 10.1016/j.emc.2016.06.003
Abstrakt: There are a number of dangerous secondary causes of headaches that are life, limb, brain, or vision threatening that emergency physicians must consider in patients presenting with acute headache. Careful history and physical examination targeted at these important secondary causes of headache will help to avoid misdiagnosis in these patients. Patients with acute thunderclap headache have a differential diagnosis beyond subarachnoid hemorrhage. Considering the "context" of headache "PLUS" some other symptom or sign is one strategy to help focus the differential diagnosis.
(Copyright © 2016 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE