A 9 year old girl suffering from swere headache from 4 years. CBC normal. What can i do ????



1.consult paediatrician 2.consult neurologist. Total clinical evaluation.. Long duration.. Site of headache... time of headache.. morning /evening/anytime Type of pain.. Aura or not.. any fortification figures Any radiation of pain Exacerbated by? Relived by? Associated features.. nasal block.. rhinorrea.. nasea.. vomiting Visual disturbances. Go for.. Testing refractive error of eyes R. O cx spondylosis... sinusitis... by x ray cx spine.. and pns X ray skull Ophthalmoscopy... fundal exam. CT brain Dental pathology if any. Family history of migrain?

Ys sir family history of migraine

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