Dr. Gerald Diaz @GeraldMD
48.5M 14.2K 7.5K
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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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
Migraine - Preventative Treatments

 β€’ Anticonvulsants: *Topiramate, *Sodium valproate, Gabapentin, Pregabalin
 β€’ Antidepressants: Amitriptyline, Venlafaxine, Duloxetine,
Migraine - Preventative ... Treatments ... neudrawlogy #Migraine ... #management #prophylaxis ... #pharmacology #neurology
Migraine Treatment Overview

 β€’ What is a Migraine?
 β€’ Pathophysiology
 β€’ Common Migraine Triggers
 β€’ Diagnosis
Migraine Treatment ... β€’ What is a Migraine ... Prophylactic Treatment ... #Treatment #management ... #prophylaxis #neurology
Acute ED Migraine Therapy and Preventative Therapy Algorithm:
Acute migraine
 β€’ IV NS IL bolus then infusion
Acute ED Migraine ... 20 mg/min -> Neurology ... #management #algorithm ... #treatment #prevention ... #prophylaxis #neurology
Stroke - Differential Diagnosis Algorithm and Management
Hemorrhagic:
 β€’ Intracerebral: HTN, Cerebral Amyloid Angiopathy, Trauma, Bleeding Diathesis,
Stroke - Differential ... Algorithm and Management ... #Stroke #CVA #Differential ... Diagnosis #Algorithm #management ... #neurology #treatment
Primary and Secondary Headaches - Red Flags and Differential Diagnosis
Red Flags (SNOOP):
S - Systemic		
N - Neurologic
Red Flags and Differential ... Systemic N - Neurologic ... Headache Sx change Migraine ... primary #secondary #management ... #neurology
Hypernatremia - Differential Diagnosis and Treatment
Hypernatremia is almost always due to unreplaced water loss (free water
Hypernatremia - Differential ... The differential ... , Dehydration: neurologic ... Hypernatremia #Differential ... #management #nephrology
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash Β± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
fraction < 20% Differential ... β€’ Ocular: uveitis ... Disease #diagnosis #management ... #treatment #rheumatology
Migraine Prevention and Prophylaxis
Who to Consider: 
 β€’ β‰₯ 4 significant headaches or migraine attacks/month
 β€’
Migraine Prevention ... treatments β€’ ... #treatment #prevention ... #prophylaxis #neurology ... #headache #management