Headache

Pain Assessment

Pain located in Radiates to Character of pain is Pain is associated with

Alleviated by Pain is exacerbated by Pain severity

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LNMP Gestational age (if pregnant)

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Symptoms

Reports Neck stiffness Fever Rash Vomiting Changes in behavior Poor balance Pain looking at light Jaw pain Sore scalp Squint Vision changes

Has No neck stiffness No fever No rash No vomiting No changes in behavior No poor balance No pain looking at light No jaw pain No sore scalp No squint No vision changes

Report negative symptoms?

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Symptoms

Reports Loss of consciousness Recent head injury Speech changes Numbness in arms Weakness in arms Numbness in legs Weakness in legs A history of cancer History of seizures Eyesight problems Recent lumbar puncture Recent epidural Symptoms occur around the time of the onset of periods

Reports No loss of consciousness No recent head injury No speech changes No numbness in arms No weakness in arms No numbness in legs No weakness in legs No history of cancer No history of seizures No eyesight problems No recent lumbar puncture No recent epidural Symptoms do not occur around the time of the onset of periods

Report negative symptoms?

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?Cluster Headache

Reports Redness of eye Swelling of eye Tearing Runny nose Drooping eyelid Constriction of pupil on affected side Sweating on face Restlessness Recurrent same time of the year

Reports No redness of eye No swelling of eye No tearing No runny nose No drooping eyelid No constriction of pupil on affected side No sweating on face No restlessness Not recurrent at the same time of the year

Report negative symptoms?

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?Migraine

Reports Sensitivity to sound Sensitivity to smell Sensitivity to touch Nausea Prodrome symptoms Aura symptoms Post-drome symptoms

Has No sensitivity to sound No sensitivity to smell No sensitivity to touch No nausea No prodrome symptoms No aura symptoms No post-drome symptoms

Report negative symptoms?

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Prodrome symptoms Aura symptoms Post-drome symptoms

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?Tension Headache

Reports A tight band-like sensation around the head Muscle tenderness in neck and shoulder Vomiting Fatigue Irritability Difficulty concentrating

Has No a tight band-like sensation around the head No muscle tenderness in neck and shoulder No vomiting No fatigue No irritability No difficulty concentrating

Report negative symptoms?

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Also reports Cough Runny nose Sore throat Malaise Abdominal pain Lower limb edema Difficulty breathing Jaundice

Has No cough No runny nose No sore throat No malaise No abdominal pain No lower limb edema No difficulty breathing No jaundice

Report negative symptoms?

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Anticoagulant use Painkiller use and duration Headache treatments tried

Details of Alcohol use Current stressful life events

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Any other relevant details



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