Sadie – Headache.

This is a telephone call and according to GP specialist Dr David Kernick (2022) headache is something that can be dealt with remotely.

Remember, an accurate history is vital (don’t forget Dr Kernick is a headache specialist and you are not as experienced), so if you have any doubts at all ask Sadie to come into surgery later in the day for a clinical examination.

In an older patient, if you consider this to be possible malignant hypertension or temporal arteritis, then you will need to check BP and Inflammatory markers.

Evidence suggests that headache consultations have similar outcomes whether they are face to face or remote.

If the case is more complex than Sadie’s, with co morbidities or signs that she or you are concerned about then you may want to book her in for this afternoon.