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Acute Treatment of Migraine

- BWH Medicine Chiefs @BrighamChiefs

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

Who is indicated for migraine prophylaxis? Patients who experience more than 3
headaches per month ... or at least 8 headache ... severe debilitating headaches ... #Pharmacology #Management ... #Neurology #PrimaryCare
Diagnostic Algorithm for the Patient with Seizure in the Emergency Department
Does the history suggest a seizure?
the Patient with Seizure ... history suggest a seizure ... light-headedness, headache ... Stroke - Atypical migraine ... #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
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
Primary and Secondary Headaches - Red Flags and Differential Diagnosis
Red Flags (SNOOP):
S - Systemic		
N - Neurologic
Systemic N - Neurologic ... Sx change Migraine ... ICP, Neoplasm, Seizure ... primary #secondary #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
Focal Seizures
Focal Seizures With Impairment of Consciousness
 - The seizure may or may not start with
Focal Seizures ... Focal Seizures With ... confusion and headache ... ) a unilateral neurologic ... #Diagnosis #Neurology
Status Epilepticus - Management
Seizure > 5 mins or two seizures without complete recovery between them
PEDS
Benzo Dose
Epilepticus - Management ... Seizure > 5 mins ... or two seizures ... #management #treatment ... peds #pediatrics #neurology
Triptan Selection - Migraine Management
Choosing triptans:
 • Reponse to given triptan do not predict to others
Management Choosing ... medication-overuse headache ... #neurology #pharmacology ... #selection #headache ... #neurology