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Acute Treatment of Migraine

- BWH Medicine Chiefs @BrighamChiefs

#Migraine #Treatment #management #neurology #headache #medications
Acute Treatment ... of Migraine - ... #Treatment #management ... #neurology #headache ... #medications
Pharmacotherapy for Migraine Prophylaxis 

Who is indicated for migraine prophylaxis? Patients who experience more than 3
headaches per month ... or at least 8 headache ... appropriate acute treatment ... #Prophylaxis #Medications ... Pharmacology #Management #Neurology
Photophobia and Headache - Differential Diagnosis Framework

Why?
• The coexistence of photophobia and headache suggests the potential
• In migraines ... : • Migraine: ... with aura > migraine ... > episodic migraine ... ophthalmology #Neurology
Migraine Prevention and Prophylaxis
Who to Consider: 
 • ≥ 4 significant headaches or migraine attacks/month
 •
days/month • Medication-overuse ... treatments • ... Preventative Medications ... #treatment #prevention ... #prophylaxis #neurology
Causes of Primary Headaches - Differential Diagnosis Algorithm
Unilateral
 • Migraine (Throbbing/Pulsating)
Bilateral
 • Tension/Stress Headache (Tightening, Band-Like,
Causes of Primary Headaches ... Unilateral • Migraine ... Tension/Stress Headache ... • Cluster Headache ... #Neurology #Differential
Medication overuse headaches or rebound headaches are caused by regular, long-term use of medication to treat headaches, such as migraines.

Treatment of medication overuse
Medication overuse ... headaches or rebound ... , such as migraines ... Treatment of medication ... symptoms #management #treatment
Acute Treatment of Migraine
Mild Attacks: NSAIDs, Simple Analgesics
Moderate/Severe Attacks: Triptans, Ditans, Gepants, Ergots
Non-pharmacologic Treatment: Neuromodulation, Rest,
Acute Treatment ... of Migraine Mild ... Rest, Hydration, Meditation ... neudrawlogy #Migraine ... #management #neurology
POUND Mnemonic for Diagnosis of Migraine Headache
P Is the headache Pulsatile in quality?
O Is the duration
for Diagnosis of Migraine ... Headache P Is ... the headache Pulsatile ... features LR 0.41 #Migraine ... #PrimaryCare #Neurology
Triptan Selection - Migraine Management
Choosing triptans:
 • Reponse to given triptan do not predict to others
month to avoid medication-overuse ... headache Rapidly ... #Management #treatment ... #neurology #pharmacology ... #neurology
Emergency management of severe hyperkalemia

#hyperkalemia #management #algorithm #nephrology #Potassium #Treatment
management of severe hyperkalemia ... #hyperkalemia ... management #algorithm #nephrology ... #Potassium #Treatment