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The signs and symptoms of fever include hot and dry skin, flushed face, thirst, muscle aches, anorexia, headache, tachycardia, tachypnea, and fatigue. Elevated body temperature is reduced using two methods: pharmacological and nonpharmacological. Proper identification and treatment of the root cause of a fever is of utmost importance.
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Related Experiment Video

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3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
10:39

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Published on: June 2, 2014

Approach to headache in emergency department.

Karthi Nallasamy1, Sunit C Singhi, Pratibha Singhi

  • 1Department of Pediatrics, Advanced Pediatrics Centre, Postgraduate Institute of Medical Education and Research, (PGIMER), Chandigarh 160012, India.

Indian Journal of Pediatrics
|October 21, 2011
PubMed
Summary

Headache evaluation in the emergency department prioritizes identifying serious causes over primary headaches like migraine. Recognizing headache patterns aids diagnosis, with chronic progressive headaches often signaling serious pathology requiring neuroimaging.

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Area of Science:

  • Neurology
  • Emergency Medicine

Background:

  • Headache is a common neurological symptom in emergency departments.
  • Secondary causes of headache are more prevalent than primary types like migraine.
  • Most secondary headaches have benign etiologies, but emergent evaluation aims to detect life-threatening causes.

Purpose of the Study:

  • To outline the diagnostic approach to headaches in the emergency department.
  • To differentiate between primary and secondary headache etiologies.
  • To emphasize the importance of identifying serious underlying pathologies.

Main Methods:

  • Analysis of headache patterns to guide etiological diagnosis.
  • Neurological examination for signs of raised intracranial pressure (ICP) and focal deficits.
  • Neuroimaging (CT scan) for children with abnormal findings.

Main Results:

  • Single acute headaches may indicate infection (e.g., meningitis).
  • Acute recurrent headaches are often associated with migraine.
  • Chronic progressive headaches suggest serious pathology (e.g., brain tumor) requiring urgent investigation.

Conclusions:

  • Headache pattern recognition is crucial for emergency department diagnosis.
  • Management involves symptomatic relief and treating underlying conditions.
  • Neuroimaging and ICP management are vital in specific pediatric cases.