Neurology Exam Prep Podcast Clerkship Success Series #8 - Headache (Part 1)
Apr 9, 2021
This discussion highlights the diagnosis of headaches, focusing on the vital differences between primary and secondary types. The hosts introduce helpful mnemonics like 2-SNOP and SNOOP4 for recognizing potential red flags. Insights into intracranial pressure disorders reveal treatment options for conditions like idiopathic intracranial hypertension. The conversation also touches on the challenges posed by headaches related to intracranial masses and the importance of thorough evaluations. Finally, trigeminal neuralgia is explored, emphasizing its unique pain characteristics.
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Determine Primary vs Secondary Headache
- Assess if a headache is primary or secondary based on history and clinical presentation.
- Focus on identifying if the headache might signal a serious underlying condition requiring specific treatment.
Use Two SNOOP4 Mnemonic
- Use the Two SNOOP4 mnemonic to identify red flags for secondary headaches.
- Important factors include secondary risks, symptoms, neurological deficits, onset characteristics, and papilledema.
Identify Subarachnoid Hemorrhage Early
- Always consider subarachnoid hemorrhage in sudden, severe 'thunderclap' headaches.
- Utilize CT and arterial imaging if suspicion is high to quickly diagnose or rule out vascular causes.