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SNOOP mnemonic may catch potentially life-threatening headaches
Systemic signs and disorders
Neurologic symptoms
Onset new or changed & patient
life-threatening headaches ... Systemic signs ... disorders Neurologic symptoms ... #Differential # ... Diagnosis #headache
Approach to Headaches - Differential Diagnosis Algorithm

Red flags (PHANTOMS):
 • Pattern change, progressively worse, papilledema
 •
- Differential ... • Meningeal signs ... pupil (AACG) • Systemic ... symptoms and signs ... (e.g., fever, myalgia
Clinical Features of Systemic Lupus (SLE)
General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%)
Eye: Sjögrens (15%)
Skin
Clinical Features of Systemic ... (SLE) General: Fever ... erythematosus #signs ... #symptoms #diagnosis ... #rheumatology
Autoimmune Myositis
Necrotizing myopathy is associated with higher CK levels, greater level of muscle weakness, less systemic
levels, greater level ... weakness, less systemic ... symptoms, and less ... heliotrope rash, Shaw sign ... , holster sign,
Biphasic Illness of Leptospirosis
Some patients do not progress to severe disease. Others, rapidly develop severe disease
brief interval symptom ... -14 days): • Fever ... • Headache ... suffusion (redness w/o exudate ... Diagnosis #Illness #Signs
Systemic Lupus Erythematosus - Diagnosis
Manifestations:
 - Arthritis 69%
 - Malar rash 40%
 - Fever 36%
 -
Systemic Lupus Erythematosus ... Malar rash 40% - Fever ... autoantibodies #signs ... #symptoms #mimickers ... rheumatology
Common organ involvements and symptoms in Sarcoidosis
Lung 89-99% - Cough, dyspnoea, wheezing and stridor
Skin 16-32% -
involvements and symptoms ... pain Nervous system ... gait disturbance, headache ... #diagnosis #signs ... #symptoms
Systemic Lupus Erythematosus (SLE) - Typical Signs/Symptoms
Alopecia, Fever, Malar rash, Photosensitivity, Adenopathies, Lupus pneumonia, Pleurisy, Pancreatitis,
SLE) - Typical Signs ... /Symptoms Alopecia ... , Fever, Malar rash ... Erythematosus #SLE #Signs ... #rheumatology
Signs and Symptoms Associated With Different Headache Etiologies
 • Nonfocal mental status changes - Meningitis, encephalitis,
Signs and Symptoms ... With Different Headache ... • Fever - Febrile ... #signs #symptoms ... #clues #differential
13 Dangerous Causes of Headache:
 - subarachnoid hemorrhage: family history, PCKD, known berry aneurysm, sudden and
Dangerous Causes of Headache ... coagulopathy, decreased level ... shoulder girdle symptoms ... thrombophilia, neurologic signs ... Dangerous #Deadly #Differential