Welcome to this month’s What’s Your Diagnosis Challenge!
But before we begin, check to see if you got the previous case on Management of Common Pediatric Ear Complaints in the Emergency Department right.
Case Presentation: Emergency Department Management of Primary Headache Disorders in Pediatric Patients
An 11-year-old boy presents with the gradual onset of a severe throbbing bifrontal headache that started 12 hours ago…Â
- The boy complained of tingling on the right side of his face before the headache began, and he continues to complain of nausea. He has vomited twice. He spent most of the day in his room with the lights off. He has had several similar headaches in the past, but they lasted only a few hours and improved with ibuprofen and a nap.Â
- On review of symptoms, he denies any fever, infectious symptoms, or recent trauma, and has no significant past medical history. His examination is normal.Â
- What is the most likely diagnosis? Does he need blood tests or neuroimaging?
Make your best guess, and check back next month for the case conclusion!
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