Clinical Case Database / Category: Patient Management
Headaches in children
Publication details
Dr Mei Chi Michi Wong MB, BChir, MRCPCH, Dr Anupam Shrivastava MB, BS, MD, FRCPCH
Foundation Years Journal, volume 8, issue 6, p.26 (123Doc Education, London, June 2014)
Abstract
Headaches are common in children. In the majority of cases children suffer from the primary headaches, i.e. migraine and tension type headache. For the foundation year doctor/general practitioner presented with a child with headache, the clinical priority is to identify those with a serious underlying pathology (secondary headache). The following article illustrates two cases in which focused history and examination were paramount in eliciting red flags that suggested an underlying cause, which in turn lead to further investigations, diagnosis and treatment.
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Authors
Dr Mei Chi Michi Wong MB, BChir, MRCPCH (Corresponding author)
Paediatric Registrar, Southend University Hospital NHS Foundation Trust
Prittlewell Chase, Westcliff-on-Sea, Essex, SS0 0RY, UK
wong.michi@gmail.com
Dr Anupam Shrivastava MB, BS, MD, FRCPCH
Consultant Paediatrician, Southend University Hospital NHS Foundation Trust
Prittlewell Chase, Westcliff-on-Sea, Essex, SS0 0RY, UK
anupam.shrivastava@southend.nhs.uk
References
7. Headache Classifiation Subcommittee of the International Headache Society. The international classifiation of headache disorders. Cephalalgia 2004; 24:1-160
9. White CP. Evaluation of headaches. Paediatrics and Child Health 2011; 21:483-487
10. Newton RW. Childhood headache. Arch Dis Child Educ Prac Ed 2008; 93:105-111
12. The diagnosis of brain tumour in children. Headsmart quick reference guide: Version 3 March 2011
14. Lissauer T, Clayden G (2007) Illustrated Testbook of Paediatrics. Elsevier Limited
16. McShane MA, Hughes SJ. Managing headache in children. Paediatrics and Child Health 2011; 21(11):518-520
17. Abu-Arafeh I. Headache in children and adolescents. Paediatrics and Child Health 2007; 18(1):42-43
19. The HeadSmart campaign. http://www.headsmart.org.uk/home/
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Conflict Of Interest
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All pictures and investigations shown in this article are shown with the patients’ consent. We require Authors to maintain patients’ anonymity and to obtain consent to report investigations and pictures involving human subjects when anonymity may be compromised. The Journal follows the Guidelines of the Uniform Requirements for Manuscripts (http://www.icmje.org/urm_full.pdf). The Journal requires in its Guidelines for Authors a statement from Authors that “the subject gave informed consent”.
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When reporting experiments on human subjects, the Journal requires authors to indicate whether the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the HelsinkiDeclaration of 1975, as revised in 2008.
About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
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