PT - JOURNAL ARTICLE AU - Alhashem, Roqiah AU - Byrne, Susan AU - Hall, Dani TI - Fifteen-minute consultation: Diagnosing serious pathology in children with headaches presenting to the emergency department AID - 10.1136/archdischild-2021-323329 DP - 2023 Dec 01 TA - Archives of disease in childhood - Education & practice edition PG - 401--405 VI - 108 IP - 6 4099 - http://ep.bmj.com/content/108/6/401.short 4100 - http://ep.bmj.com/content/108/6/401.full SO - Arch Dis Child Educ Pract Ed2023 Dec 01; 108 AB - Headache is one of the most common presentations to the paediatric emergency department. Although challenging, it is important to differentiate serious secondary headaches requiring emergency treatment from primary headache disorders. A detailed history and neurological examination can be used to identify children at higher risk of serious underlying pathology. Neuroimaging decisions should be taken carefully, weighing risk versus benefit in each case. This article will discuss five patient scenarios highlighting red flags and differential diagnoses in children presenting with headache in the emergency department.