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Abrupt onset or first experience of intense head pain, especially in adults > 35 years old
-Progressive worsening of head pain, especially over a short period of time such as hours to days
-Presence or absence of typical migraine-provoking factors
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-Presence or absence of abnormal neurological or other physical finding or symptoms
○ Stiff neck, papilledema, neurologic deficits, fever, changes in level of consciousness of mental function
-Refractoriness to appropriate interventions
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