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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

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Tuesday, March 15, 2022

Atypical Headaches

TAMING THE SRU
TAMING THE SRU - By Casey Glenn - March 14, 2022 
"So the patient has a headache. How can one risk stratify them into primary or secondary causes? Patients with a secondary cause of their headache will often present with signs or symptoms that will aid in their diagnosis. There are symptoms that are classically referred to as the "red flag symptoms" that, if present, are suggestive of secondary causes of headaches and can be remembered by the SNOOP2 mnemonic:
  • Systemic symptoms: fever, chills, weight loss, HIV+, immunocompromised, or history of cancer
  • Neurologic symptoms: confusion, change in mental status, vision change, seizure, asymmetric reflexes
  • Onset: acute, sudden, or "thunderclap"
  • Older patient: >50 years old with new-onset or progressive headache
  • Previous headache history: first headache or change in character, severity, or frequency
  • Pregnant or postpartum
It is important to remember that patients presenting any "red flag symptom" require thorough workup and assessment, even if their symptoms are alleviated."