39 results
Acute Treatment of Migraine

- BWH Medicine Chiefs @BrighamChiefs

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

Who is indicated for migraine prophylaxis? Patients who experience more than 3
Pharmacotherapy for Migraine ... indicated for migraine ... appropriate acute treatment ... #Prophylaxis #Medications ... Pharmacology #Management #Neurology
Acute ED Migraine Therapy and Preventative Therapy Algorithm:
Acute migraine
 • IV NS IL bolus then infusion
Acute ED Migraine ... 20 mg/min -> Neurology ... Preventative Medications ... management #algorithm #treatment ... #prophylaxis #neurology
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
Positional Vertigo (BPPV ... patient with a clinical ... consistent with BPPV ... patient with a clinical ... Labyrinthitis #diagnosis #neurology
Triptan Selection - Migraine Management
Choosing triptans:
 • Reponse to given triptan do not predict to others
Triptan Selection - Migraine ... month to avoid medication-overuse ... #Management #treatment ... #neurology #pharmacology ... selection #headache #neurology
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Varies • No neurologic ... auditory findings BPPV ... Hearing loss. ... Vertigo #Algorithm #differential ... #diagnosis #neurology
Dizziness - Differential Diagnosis Framework
"Tell me what you mean by dizzy without using the word dizzy."
Vertigo:
Dizziness - Differential ... • Peripheral: BPPV ... Visual Impairment, Medications ... Dizziness #dizzy #Differential ... #Diagnosis #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
Epley Maneuver for Treatment of BPPV

By Dr. Gutwein via @jmcchiefs

#Epley #Maneuver #BPPV #Benign #paroxysmal #positional #vertigo
Epley Maneuver for Treatment ... of BPPV By Dr ... Epley #Maneuver #BPPV ... positional #vertigo #neurology ... #instructions #clinical