Which symptom is NOT part of the POUND criteria for migraines?

The POUND criteria is used to help identify migraines and consists of specific symptoms that are characteristic of migraine headaches. These criteria include:

• P for pulsatile quality of the headache

• O for unilateral location (one-sided pain)

• U for duration of 4 to 72 hours

• N for nausea or vomiting

• D for disabling intensity.

Among the options presented, fever and chills are not among the defining symptoms of migraines. Fever and chills typically suggest an infectious process or another underlying health issue, rather than a primary headache disorder like migraines. Therefore, the answer clearly distinguishes itself from the symptoms associated with the POUND criteria, affirming that it does not belong to the migraine symptom profile.

The other symptoms listed, such as unilateral location, duration of one day (note the duration should typically be more than four hours), and pulsatile pain are indeed part of the migraine symptom pattern, highlighting their relevance in diagnosing this condition.