... lifting, cough Pain that disturbs sleep or presents immediately upon awakening Chapter 015. Headache (Part 2) Clinical Evaluation of Acute, New-Onset Headache The patient who presents ... hematoma, glaucoma, and purulent sinusitis. When worrisome symptoms and signs are present (Table 15 -2), rapid diagnosis and management is critical. Known systemic illness Onset after age 55 Pain...