Table 5.

Full objective examination of headache patients.

General and Vital Signs Assessment

General condition (complexion, hydration status)

Skin temperature

Cardiorespiratory activity

Blood pressure

Auxological parameters: weight, height, head circumference

Physical examination

Skin: search for skin discolorations

Examination of algogenic structures of the head and neck: sinuses, temporomandibular joints, identification of trigger points, pain points or muscle contractures

Palpation of the thyroid gland

Assessment of nuchal stiffness

Pubertal state

Systematic neurological examination

Mental and psychic status (drowsiness, irritability), alertness, responsiveness, speech

Asymmetries and side marks

Ocular system: pupillary reflexes, extrinsic ocular motility with nystagmus and diplopia search, visual field

Fundus oculi

Cranial nerves: facial symmetry, strength and sensitivity of facial districts, signs of focal pathology

Marching, balance, coordination, basic gait planting

Strength and sensitivity

Osteotendinous reflexes (in the infant, archaic reflexes)