The patient tells you that she already had a slight headache last night. In the night, however, she had no more and this morning when she left her apartment she also had no pain. It was only since she was back in the office that she had a slight headache again. These had now grown stronger all morning.

Which answer is correct?

1. From this description I can exclude something life-threatening. The 3 S and the first impression confirm my suspicion.

No. With this description, you still cannot exclude that there is something potentially life-threatening behind the headache. You cannot dismiss it as a simple headache.

Try again…

2. I can ask further questions: if they have taken something special (medication, drugs) or how much they have been drinking (too little water, too much alcohol). I can also ask if she got a blow against the head or not.

Correct!

These questions provide you with further important information for the reason of headaches. You could also ask if she often has a headache and knows this kind of pain.

Continue…

3. I’m not quite sure and I do not know what to do. So I call the JDMT service line or the 144.

Always a possibility if you don’t know what to do next. But have a look at the second answer again.

Try again…