12 results
Acute Treatment of Migraine

- BWH Medicine Chiefs @BrighamChiefs

#Migraine #Treatment #management #neurology #headache #medications
Acute Treatment of Migraine ... BrighamChiefs #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 ... #Prophylaxis #Medications ... #Pharmacology #Management ... #Neurology #PrimaryCare
Mydriasis and Miosis - Differential Diagnosis Framework

Causes of Mydriasis:
Dilated pupils (mydriasis) more than 7mm
 • Unilateral
, Adie's tonic pupil ... , Migraine Headache ... response, Serotonin syndrome ... Miosis: Horner's syndrome ... differential #diagnosis #ophthalmology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Adie's Pupil What ... Holmes-Adie Syndrome ... no light-near dissociation ... #PhysicalExam #neurology ... #ophthalmology
Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
Adie's Pupil on ... Physical Exam Adie's pupil ... i.e., light-near dissociation ... clinical #video #ophthalmology ... #neurology #syndrome
Migraine Prevention and Prophylaxis
Who to Consider: 
 • ≥ 4 significant headaches or migraine attacks/month
 •
Migraine Prevention ... days/month • Medication-overuse ... Preventative Medications ... #prophylaxis #neurology ... #headache #management
Triptan Selection - Migraine Management
Choosing triptans:
 • Reponse to given triptan do not predict to others
Management Choosing ... month to avoid medication-overuse ... headache Rapidly ... #selection #headache ... #neurology
Blurry Vision - Differential Diagnosis Framework

Anatomical Approach to Eye Disease:
1. Lids/Lashes
2. Extraocular Muscles/Motility
3. Conjunctiva/Sclera
4. Cornea
5. Anterior
edema • Lens dislocation ... Blurry Vision: • Migraine ... GCA • Adie’s pupil ... • Sjögren’s syndrome ... differential #diagnosis #ophthalmology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Neurologic ... • Migraine is ... Cataract/Lens Dislocation ... large/unreactive pupil ... Algorithm #Causes #Ophthalmology
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
characterized by: • Headache ... mental status • Headache ... Electrolyte abnormality, Medication ... #diagnosis #management ... #neurology