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headache questions

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dannyday5821 | 13:57 Sat 02nd Aug 2008 | Body & Soul
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as some of you might know, i worked for the ambulance service - i was wondering if anyone knew why when someone complains of headache we ask the following three questions...

"was there a recent sudden onset of severe pain?"
"does you have any numbness or paraylsis?"
"have you had a recent change in behaviour?"

what would the answers to these questions tell a doctor?

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the last 2 would surely point to a potential neurological disorder, perhaps a stroke or TIA.

are you curious as to whether WE know? do you know the answers??
I was about to ask if this was a test for us too sara.
If you worked for the ambulance service how long ago was it & you'd have some idea of the answers surely?
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hehe no its not a test its a genuine question! i answer 999 calls - get the details and ask questions - im not actually medically qualified!
well apparently, I am!
No 1 might indicate a migrainous attack or migrainous neuralgia. Might even herald the onset of a sub-arachnoid hge (although by the time you answered the call she/he would be unconscious)
The rest, I agree with sara.
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I suppose sudden onset of severe pain may indicate possible tumours. Numbness or paralysis, could be damage to the spinal cord and people who sustain head injuries can have a change in behaviour, including violence.
A bit like hawkswind then
Well they would all indicate something more serious which needs emergency care or something which can be managed without emergency care or on a less urgent basis such as a migraine or non-urgent concussion rather than something like medicine, bleeding/hemorrage or clot, swelling, tumor/abcess, stroke and neurological causes.
A sudden severe onset of a headache is considered to have a more serious underlying cause until proven othwise. Some young people can have strokes caused by a Berry Aneurysm. The type of pain can be significant in deciding what the likely condition could be.

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