Migraine physical examination

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Overview

The majority of patients with headaches complains have a normal physical and neurological examination.

Physical Examination

Appearance

The patient appear with a headache.

Vital signs

• Tachycardia/ bradycardia
• Hypertension/ hypotension

Eye

• Conjunctival injection may be present
• Fundoscopy: papilledema may be present

Neurologic

• Horner's syndrome may be present
• Adie type pupil may be present

Head and neck

• Cranial/ cervical muscle tenderness may be present
• Listen for bruit at neck and head for clinical sights of arteriovenous malformation.