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Good morning, good afternoon, good evening, clinical problem solvers.

Nice to see everyone.

So Valeria, do you want to give us just the chief concern?

And then we'll go ahead and get started.

Yeah, so the chief concern is headache and altered mental status. Headache and altered mental status.

So Joy, when you hear either one of those concerns and or both of them together, what starts running through your mind?

Well, I definitely I would first think of primary headache ideology here, being that this is a neurovmr, but obviously you have to rule out the systemic causes, right?

Like if, you know toxins and um you know the hype the the electrolyte balances that that could be but

you know headache i on my mind goes um right away to primary headaches and secondary headaches, obviously,

like, and there is also the altered mental status there.

And yeah, I would definitely think as far as like, is this something chronic or this is just something abrupt, the crinicity.

Excellent.

This is great.

So just sticking with headache for a moment, you mentioned primary and secondary headache disorders, just for others who might not be familiar with those terms,

Joy, can you define what you mean by primary and secondary headaches?

Well, primary headaches are, you know, the most common that brings people to a neurology office

would be migraines, right?

Like the other ones are cluster, the cluster

attention headache. The headaches that obviously not caused by, we can't pinpoint other

costs for them, like if you would say secondary headaches, like trigeminal neuralgia, there is, there is something like you can point to

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