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Katie McLeod

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date: 16 May 2022

This chapter provides a discussion of the challenges facing the emergency physician dealing with patients presenting with a range of headaches and an exploration of the necessary history and examination and the stratification of higher imaging and further diagnostics such as lumbar puncture.

It examines the evidence base for three key clinical questions; what is the best analgesia for each headache type, the role of lumbar puncture after CT in suspected subarachnoid haemorrhage and an overview of the alternative potential diagnoses for a ‘sudden-onset severe’ headache.

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