a. History: Acute
| Next Pivotal Assessment | Findings | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Further History | Anticoagulant Medication Use |
Disturbs sleep or presents immediately upon awakening
|
Episodic | Pain induced by bending, lifting, coughing | Sudden Severe Headache | Toxic appearance (fever, meningismus) | Vomiting precedes headache | ||
| Known systemic illness |
| Onset after age 55 |
| Fever or unexplained systemic signs |
| Abnormal neurologic examination |
| Pain associated with local tenderness, e.g., region of temporal artery |