Headache resident survival guide (pediatrics)

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief:

Headache resident survival guide (pediatrics) Microchapters
Overview
Causes
FIRE
Diagnosis
Treatment
Do's
Don'ts

Overview

This section provides a short and straight to the point overview of the disease or symptom. The first sentence of the overview must contain the name of the disease.

Causes

Life Threatening Causes

Life-threatening causes include conditions that may result in death or permanent disability within 24 hours if left untreated.

• Brain tumor
• Subdural Hematoma
• Meningitis
• Ventriculoperitoneal shunt

Common Causes

• Rhinitis
• Head trauma
• Migraine
• Tension Headache
• Trigeminal autonomic Cephalalgia (Cluster Headache)
• Common cause 2
• Common cause 3
• Common cause 4
• Common cause 5

FIRE: Focused Initial Rapid Evaluation

A Focused Initial Rapid Evaluation (FIRE) should be performed to identify patients in need of immediate intervention. The initial rapid evaluation is based on the guidelines:

Complete Diagnostic Approach

Shown below is an algorithm summarizing the diagnosis of [[Headache]] according the the [...] guidelines.

Treatment

Shown below is an algorithm summarizing the treatment of [[disease name]] according the the [...] guidelines.

Do's

• The content in this section is in bullet points.

Don'ts

• Failure to reassess a child with migraine or tension headache when the headache character changes
• Attributing persistent nausea and vomiting to an infective cause in the absence of corroborative findings, eg, contact with similar illness, pyrexia, diarrhoea
• Failure to fully assess vision in a young or uncooperative child
• ▶ Failure of communication between community optometry and primary and secondary care
• Attributing abnormal balance or gait to middle ear disease in the absence of corroborative findings
• Failure to identify swallowing difficulties as the cause of recurrent chest infections or “chestiness”
• Attributing impaired growth with vomiting to gastrointestinal disease in the absence of corroborative findings
• ▶ Failure to consider diabetes insipidus in children with polyuria and polydipsia

References

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