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afya RF Headache

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20160425222546 Ben  
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Check - BP, Fundi, Temporal arteries, neck muscles, neuro

Sudden onset reaching max intensity by 5mins
severe - worse pain ever
worsening - with fever, bending forwards
onset >50
new focal neuro or cognitive deficit/dysfunction
meningism
reduced GCS
head trauma in last 3/12
Sx suggesting giant cell arteritis or acute narrow angle glaucoma

Immunosuppressed _HIV or drugs
 <20yr with Hx malignancy
Hx malignancy known to met to brain
vomit without other cause
change in personality
triggered by cough / valsalva / sneeze or exersize
orthostatic (changes with posture)
change in headache characteristic

?COCP