headache

Question 1

what are red flags on history for headache?

Answer 1

sudden onset
severe and debiliting pain
fever
vomiting
disturbed consciousness
worse with bending, coughing, sneezing
maximum in morning
neurological and visual symptoms
young obese female ? on medication
"new" in elderly, especially > 50

Question 2

what are red flags on examination for headache?

Answer 2

Altered consciousness or cognition
Meningism
Abnormal vital signs: BP, temperature, respiration
Focal neurological signs including pupils, fundi, eye movement
Tender, poorly pulsatile temporal arteries