Dr. Gerald Diaz @GeraldMD
23.2M 13.8K 7.2K
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
Acute Treatment of Migraine

- BWH Medicine Chiefs @BrighamChiefs

#Migraine #Treatment #management #neurology #headache #medications
Acute Treatment ... of Migraine - ... BrighamChiefs #Migraine ... #Treatment #management ... #neurology #headache
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
Migraine - Preventative Treatments

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

Established Efficacy: 
 β€’ Metoprolol, Propranolol, Timolol, Divalproex, Valproate, Topiramate, Frovatriptan
Probably Effective: 
 β€’
Prophylactic Migraine ... Cyproheptadine #Migraine ... #Medications #pharmacology ... #EBM #neurology
Alternatives to opioids for pain management in the emergency department decreases opioid usage and maintains patient
to opioids for pain ... Pain pathways by ... #Management #Pharmacology ... Pathways #Table #MSK #Migraine
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
Acute ED Migraine Therapy and Preventative Therapy Algorithm:
Acute migraine
 β€’ IV NS IL bolus then infusion
Acute ED Migraine ... Algorithm: Acute migraine ... 20 mg/min -> Neurology ... management #algorithm #treatment ... #prophylaxis #neurology
Stages of Migraine
 β€’ Prodromal or Premonitory Phase (1-2 days): Fatigue, Yawning, Food cravings, Pallor, Nausea,
Stages of Migraine ... Phase (4h-72h): Pain ... fulfilling the migraine ... neudrawlogy #Migraine ... Stages #diagnosis #neurology
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