Test yourself! What is the most likely cause of headache in the following scenarios? What is the investigation of choice?
A 34 year old taking the combined oral contraceptive pill presents with a worst ever headache. It has progressed over 2 weeks and is much worse when she coughs or lies down. She has noticed some diplopia.
A 44 year old male presents with a severe headache, rated as 10/10. It is occipital and reached maximum intensity within 1 minute.
17 year old female presents with a severe headache that built up over the last 24 hours. She is nauseous, vomited twice and needs to lie down in a dark room as she is sensitive to light. Moving around makes the headache worse.
A 50 year old presents with a headache associated with a fever and new onset confusion.
A 46 year old female who had breast cancer treated 4 years ago and is in remission presents with a headache for 3 weeks. It is worse in the morning and when she bends over. She noticed her left arm is slightly more clumsy over the last week.
A 31 year old female with BMI 36 has a headache for 4 weeks. It is worse with coughing, bending, and sneezing. Her vision is blurred.