Good Hope Eye Department

Good Hope Hospital Eye Clinic
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Headache from the Ophthalmologists view for professionals
David Kinshuck
Some notes from this paper. 4 simple features in the patient's history can accurately diagnose migraine, and therefore neuro-imaging is not needed.
POUNDing
  1. pulsating
  2. duration 4-72 hOurs
  3. Unilateral
  4. Nausea
  5. Disabling

To identify a CNS abnormality, or at least need to neuro-image:

cluster type headache  
abnormal CNS examination  
ill-defined headache not cluster/migraine/tension
headache with aura  
headache aggravated by valsalva- like manouvre  
headache with vomiting  
 

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