The Clinic Visit: From History and Exam to When and How to Evaluate a Pediatric Headache Patient

Sanjai C. Rao, Christopher B. Oakley

Research output: Chapter in Book/Report/Conference proceedingChapter


A pediatric headache clinic visit can be daunting. However, with the right mindset, these visits can also be very rewarding for all. While many who bring their child in for evaluation of their headaches fear the worst, the reality is that most pediatric headache patients will be fine with only reassurance and a good treatment plan. The key, as with all pediatric encounters, is to take a quality history and perform a thorough physical exam, including neurologic and funduscopic. This can be overwhelming, but with structure and practice, this can become as easy as seeing any other patient in clinic. By conquering the pediatric headache history and exam, you will be able to make the correct diagnosis, discuss their headaches, assess the need for further evaluation, and formulate an appropriate treatment plan. Unfortunately, even with confidence in seeing a pediatric headache patient, an uphill battle may be on your hands as it is often hard to combat the preconceived worries a patient or their families have regarding their headaches. If reassurance alone is not enough, or if there is a need to worry, there are guidelines and recommendations for further evaluating a pediatric headache patient as well as specialty consultants available to assist in caring for these patients.

Original languageEnglish (US)
Title of host publicationPediatric Headache
Subtitle of host publicationEvaluation through Treatment for the General Provider
PublisherSpringer International Publishing
Number of pages23
ISBN (Electronic)9783031139314
ISBN (Print)9783031139307
StatePublished - Jan 1 2023


  • Ancillary testing
  • Funduscopic exam
  • Headache history
  • Laboratory studies
  • Neuroimaging
  • Neurological exam
  • Pediatric headache clinic visit
  • Physical exam

ASJC Scopus subject areas

  • General Medicine


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