POUND Mnemonic for Diagnosis of Migraine Headache P - Pulsating quality - Throbbing or pulsatile rhythmic pain, reflecting the vascular nature of migraines, typically worse with activity. O - One-day duration (4-72h if untreated) U - Unilateral - Often unilateral, however can often switch sides and sometimes become bilateral. Typically affecting the temple, eye or forehead. N - Nausea or vomiting - Nausea is a hallmark symptom, with vomiting in severe cases D - Disabling - Significantly impairs daily activities- work, school or social activities. Diagnostic Likelihood Ratios: ≤2 features - LR 0.4; 3 features - LR 3.5; ≥4 features - LR 24 #POUND #Mnemonic #Migraine #Headache #Diagnosis #Neurology
