Dr. Gerald Diaz @GeraldMD
39.5M 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
Mild Attacks: NSAIDs, Simple Analgesics
Moderate/Severe Attacks: Triptans, Ditans, Gepants, Ergots
Non-pharmacologic Treatment: Neuromodulation, Rest,
of Migraine Mild ... Gepants, Ergots Non-pharmacologic ... , Rest, Hydration ... neudrawlogy #Migraine ... #management #neurology
Migraine - Preventative Treatments

 β€’ Anticonvulsants: *Topiramate, *Sodium valproate, Gabapentin, Pregabalin
 β€’ Antidepressants: Amitriptyline, Venlafaxine, Duloxetine,
Migraine - Preventative ... Treatments ... neudrawlogy #Migraine ... prophylaxis #prevention #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 ... #pharmacology # ... prophylaxis #neurology
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 β€’ Rest angina attributed to coronary artery vasospasm.
 β€’ Patients often
disorders (Raynaud, migraine ... anginal chest pain ... tolerance β€’ Pain ... perform provocative tests ... in cath lab Treatment
Primary and Secondary Headaches - Red Flags and Differential Diagnosis
Red Flags (SNOOP):
S - Systemic		
N - Neurologic
Systemic N - Neurologic ... Headache Sx change Migraine ... Patient Prefers to Rest ... Eye/Temple β€’ Pain ... quickly, deep pain
Aimovig (Erenumab)
Mechanism: Calcitonin Gene-related Peptide Receptor Antagonist 
Indication: Preventive Treatment of Migraines:
Dosing: 70 mg SQ monthly,
Indication: Preventive Treatment ... of Migraines: ... monthly to prevent migraines ... Aimovig #Erenumab #Migraine ... #Neurology #Pharmacology
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
with systemic, neurologic ... claudication: pain ... chews, not just pain ... the β€œChewing gum test ... Treatment of GCA
The Stages of Syphilis 

Primary Syphilis 
- The chancre lesion is the hallmark of primary syphilis.
Without treatment ... have positive serology ... a syndrome of pain ... GrepMed Recommended Text
Overview of antifungal agents benefits, weaknesses, and adverse effects in the treatment of Coccidioidomycosis.
Fluconazole - Low
effects in the treatment ... dyspnea, chest/back pain ... Coccidioidomycosis #coccidioides ... valleyfever #management #treatment ... comparison #table #pharmacology
Diagnosis and Management of Achalasia - ACG Guidelines

Who to suspect?
 β€’ Patients presenting with progressive dysphagia
heart burn, chest pain ... What test to order ... POEM Symptomatic Treatment ... Botulinum toxin β€’ Pharmacologic ... gastroenterology #Treatemtn