8 results
Pharmacotherapy for Migraine Prophylaxis 

Who is indicated for migraine prophylaxis? Patients who experience more than 3
despite appropriate acute ... contraindications to acute ... #Prophylaxis #Medications ... #Table #Pharmacology ... #Management #Neurology
Prophylactic Migraine Medications

Established Efficacy: 
 • Metoprolol, Propranolol, Timolol, Divalproex, Valproate, Topiramate, Frovatriptan
Probably Effective: 
 •
Prophylactic Migraine ... Medications ... #prophylaxis #Medications ... #pharmacology # ... EBM #neurology
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 ... Gepants, Ergots Non-pharmacologic ... Rest, Hydration, Meditation ... #management #neurology
Acute ED Migraine Therapy and Preventative Therapy Algorithm:
Acute migraine
 • IV NS IL bolus then infusion
Acute ED Migraine ... Therapy Algorithm: Acute ... 20 mg/min -> Neurology ... Preventative Medications ... #prophylaxis
Migraine Prevention and Prophylaxis
Who to Consider: 
 • ≥ 4 significant headaches or migraine attacks/month
 •
and Prophylaxis ... days/month • Medication-overuse ... Contraindications to acute ... Preventative Medications ... #neurology #headache
Mydriasis and Miosis - Differential Diagnosis Framework

Causes of Mydriasis:
Dilated pupils (mydriasis) more than 7mm
 • Unilateral
herniation (Comatose), Acute ... Mydriasis: - Medications ... Antipsychotic medications ... AntichoIinergic medications ... response - Medications
Etiologies of Peripheral Neuropathy
 • Metabolic / Nutritional: DiabetesB12 deficiency, Uremia/ESRD, Hypothyroidism
 • Medication-induced: ART, Antibiotics,
Hypothyroidism • Medication-induced ... Vasculitis, Sjogren's, Lupus ... Fabry's disease, Acute ... Peripheral #Neuropathy #differential ... diagnosis #causes #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
Effects of Systemic Medications ... Blurry Vision: • Migraine ... • Acute angle-closure ... visual loss) • Medications ... #diagnosis #ophthalmology