Migraine headache

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Migraine Likely?

POUNDing

1) Pulsatile

2) Duration of 4-72 hOurs

3) Unilateral

4) Nausea or vomiting

5) Disabling in quality


Yes to 4 or more: LR 24 (definite or possible migraine)

3 criteria: LR 3.5

1-2: LR 0.41


See Also

Neuro: Headach

Neuro: Headache Red Flags


Source

Detsky et. al, JAMA '06 Does this Patient with a Headache have a Migraine or need Neuroimaging?

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