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Headache is one of the common symptoms presenting in general practice. It needs a sound diagnostic and management strategy as the problem can be confusing. The key to diagnosing the condition is to know and understand the cause. A lot of factors need to kept in mind in order as to avoid misdiagnosing the cause of headache. A good history regarding the onset, duration, associated symptoms and general physical examination of the patient is a must. Common conditions such as migraine, tension headache, sinusitis and refractive errors of the eye can be easily diagnosed. But one must also be able to identify conditions such as Paget’s disease, Conn’s syndrome, Addison’s disease and Cushing’s syndrome which may make a rare presentation in the form of a headache.
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