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Acute Treatment of Migraine

- BWH Medicine Chiefs @BrighamChiefs

#Migraine #Treatment #management #neurology #headache #medications
Acute Treatment ... #Migraine #Treatment ... #management #neurology ... #headache #medications
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Pre-Renal:
 • Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Acute Kidney Injury ... Protein) • AIN: Medication ... SCVMCMed #AKI #Acute ... Differential #Diagnosis #nephrology ... #causes #algorithm
Acute Treatment of Migraine
Mild Attacks: NSAIDs, Simple Analgesics
Moderate/Severe Attacks: Triptans, Ditans, Gepants, Ergots
Non-pharmacologic Treatment: Neuromodulation, Rest,
Acute Treatment ... Non-pharmacologic Treatment ... Rest, Hydration, Meditation ... #Migraine #acute ... #neurology
Mydriasis and Miosis - Differential Diagnosis Framework

Causes of Mydriasis:
Dilated pupils (mydriasis) more than 7mm
 • Unilateral
Diagnosis Framework Causes ... herniation (Comatose), Acute ... Hypothermia Causes ... Robertson pupils), DM, SAH ... ophthalmology #causes
Pharmacotherapy for Migraine Prophylaxis 

Who is indicated for migraine prophylaxis? Patients who experience more than 3
despite appropriate acute ... treatment, or those ... contraindications to acute ... #Prophylaxis #Medications ... Pharmacology #Management #Neurology
Unilateral Fixed Dilated Pupil - Differential Diagnosis Framework
If Altered Mental Status - Consider Oculomotor (3rd cranial
lntracranial hemorrhage, SAH ... no neurological cause ... : • Trauma • Medication ... differential #diagnosis #neurology
Stroke Etiologies
Hemorrhagic (IPH, SAH)
Ischemic
 - Large Vessel Atherosclerosis
 - Cardioembolic: Atrial fib, prosthetic valves, LV aneurysm,
Hemorrhagic (IPH, SAH ... Endocarditis, Acute ... EricsMedicalLectures/ #Stroke #causes ... differential #diagnosis #neurology
Hepatitis B - Treatment Indications
Treatment not indicated:
 • Immune tolerant state - HBe-Ag detectable, high HBV
Indications Treatment ... tolerant state - HBe-Ag ... immunosuppression • Acute ... > 3 mg/dL) or acute ... #Indications #management
SNRls (Serotonin/Norepinephrine Reuptake Inhibitors) - FDA Approved Indications 

Venlafaxine (Effexor) - GAD, MDD, Panic Disorder, SAD
- FDA Approved Indications ... Panic Disorder, SAD ... purpose of these medications ... in outpatient clinics ... is for treatment
Acute Kidney Injury - Classification
Prerenal:
 • Dehydration
 • Heart failure (a.k.a. cardiorenal syndrome)
 • Liver failure
Acute Kidney Injury ... disease - Acute ... tubular necrosis (causes ... tract infection • Medications ... Classification #diagnosis #nephrology