Patient Records — Medical Records

#	Body Part	Symptoms	Disease	Tests	Test Findings	Medicine	Class	Dose	Frequency	Duration	Injection	Images	Others	Auto Summary	Actions
1	Head	Headache (general)	Headache — differential diagnosis guide	MRI Brain (rule out tumor, stroke, MS, raised ICP, sinus headache) CT Scan Head (emergency headache, suspected bleed, trauma, thunderclap headache) Lumbar Puncture (suspected meningitis, SAH with normal CT, TB meningitis, viral CNS infection, idiopathic intracranial hypertension) Blood Tests: CBC, ESR, CRP, TFT (hypothyroidism), blood glucose, electrolytes (sodium imbalance) Eye Tests: visual acuity, refractive error, intraocular pressure, fundus exam Sinus X-ray (facial pain, postnasal drip, worse on bending, nasal congestion) EEG (seizures, confusion spells, altered consciousness)	Migraine, tension headache, cluster headache — diagnosed clinically; history and exam sufficient for most cases	—		—	—	—		None	Most primary headaches (migraine, tension, cluster) require no investigations. Tests reserved for red-flag symptoms.	Patient presents with symptoms of headache (general) in the head. Recommended tests: mRI Brain (rule out tumor, stroke, MS, raised ICP, sinus headache) CT Scan Head (emergency headache, suspected bleed, trauma, thunderclap headache) Lumbar Puncture (suspected meningitis, SAH with normal CT, TB meningitis, viral CNS infection, idiopathic intracranial hypertension) Blood Tests: CBC, ESR, CRP, TFT (hypothyroidism), blood glucose, electrolytes (sodium imbalance) Eye Tests: visual acuity, refractive error, intraocular pressure, fundus exam Sinus X-ray (facial pain, postnasal drip, worse on bending, nasal congestion) EEG (seizures, confusion spells, altered consciousness). Diagnosis suggests headache — differential diagnosis guide.

Body Part

Symptoms

Disease

Tests

Test Findings

Medicine

Class

Dose

Frequency

Duration

Injection

Images

Others

Auto Summary

Actions

Head

Headache (general)

Headache — differential diagnosis guide

MRI Brain (rule out tumor, stroke, MS, raised ICP, sinus headache)
CT Scan Head (emergency headache, suspected bleed, trauma, thunderclap headache)
Lumbar Puncture (suspected meningitis, SAH with normal CT, TB meningitis, viral CNS infection, idiopathic intracranial hypertension)
Blood Tests: CBC, ESR, CRP, TFT (hypothyroidism), blood glucose, electrolytes (sodium imbalance)
Eye Tests: visual acuity, refractive error, intraocular pressure, fundus exam
Sinus X-ray (facial pain, postnasal drip, worse on bending, nasal congestion)
EEG (seizures, confusion spells, altered consciousness)

Migraine, tension headache, cluster headache — diagnosed clinically; history and exam sufficient for most cases

—

None

Most primary headaches (migraine, tension, cluster) require no investigations. Tests reserved for red-flag symptoms.

Patient presents with symptoms of headache (general) in the head. Recommended tests: mRI Brain (rule out tumor, stroke, MS, raised ICP, sinus headache) CT Scan Head (emergency headache, suspected bleed, trauma, thunderclap headache) Lumbar Puncture (suspected meningitis, SAH with normal CT, TB meningitis, viral CNS infection, idiopathic intracranial hypertension) Blood Tests: CBC, ESR, CRP, TFT (hypothyroidism), blood glucose, electrolytes (sodium imbalance) Eye Tests: visual acuity, refractive error, intraocular pressure, fundus exam Sinus X-ray (facial pain, postnasal drip, worse on bending, nasal congestion) EEG (seizures, confusion spells, altered consciousness). Diagnosis suggests headache — differential diagnosis guide.