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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
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 ... neudrawlogy #Migraine ... #acute #treatment ... #management #neurology
Dizziness - Central and Peripheral Causes - Differential Diagnosis
Central Causes:
 • Cerebrovascular:  vertebrobasilar, TIA, Wallenburg,
Peripheral Causes - Differential ... • Vestibular Migraine ... Acoustic Neuroma • BPPV ... toxicity • Otitis media ... Peripheral #Causes #Differential
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 ... #Pharmacology #Management ... #Neurology #PrimaryCare
Migraine Treatment Overview

 • What is a Migraine?
 • Pathophysiology
 • Common Migraine Triggers
 • Diagnosis
Migraine Treatment ... • What is a Migraine ... Prophylactic Treatment ... #Treatment #management ... #prophylaxis #neurology
Migraine - Preventative Treatments

 • Anticonvulsants: *Topiramate, *Sodium valproate, Gabapentin, Pregabalin
 • Antidepressants: Amitriptyline, Venlafaxine, Duloxetine,
Migraine - Preventative ... Treatments ... neudrawlogy #Migraine ... #management #prophylaxis ... #pharmacology #neurology
Acute ED Migraine Therapy and Preventative Therapy Algorithm:
Acute migraine
 • IV NS IL bolus then infusion
Acute ED Migraine ... Algorithm: Acute migraine ... Cortel-LeBlanc #Migraine ... #management #algorithm ... #treatment #prevention
Triptan Selection - Migraine Management
Choosing triptans:
 • Reponse to given triptan do not predict to others
Triptan Selection - Migraine ... Management Choosing ... Rapidly progressing migraine ... 001167 #Triptans #Migraine ... #Management #treatment
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
Dizziness - Vertigo - Differential ... oscillopsia) • Otitis Media ... Basilar Artery Migraine ... Dizziness #Vertigo #Neurology ... #Differential #
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Hypoxemia - Workup and Management ... Differential Diagnosis ... 1M Epi, ± Solu-Medrol ... Workup #diagnosis #Management ... #treatment #criticalcare