Dr. Gerald Diaz @GeraldMD
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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
Primary and Secondary Headaches - Red Flags and Differential Diagnosis
Red Flags (SNOOP):
S - Systemic		
N - Neurologic
Sx change Migraine ... Phonophobia +/- aura ... Hypoglycemia Anatomy - Acute ... primary #secondary #management ... #neurology
Migraine without Aura
Diagnostic Criteria (ICHD-3):
A) At least 5 attacks fulfilling criteria B-D:
B) Headache attacks lasting 4-72
Migraine without ... Aura Diagnostic ... Moderate or severe pain ... #Aura #diagnosis ... #criteria #neurology
Acute Treatment of Migraine
Mild Attacks: NSAIDs, Simple Analgesics
Moderate/Severe Attacks: Triptans, Ditans, Gepants, Ergots
Non-pharmacologic Treatment: Neuromodulation, Rest,
Acute Treatment ... Gepants, Ergots Non-pharmacologic ... , Rest, Hydration ... #acute #treatment ... #management #neurology
Stages of Migraine
 β€’ Prodromal or Premonitory Phase (1-2 days): Fatigue, Yawning, Food cravings, Pallor, Nausea,
Blurred Vision β†’ β€’ Aura ... 60 minutes each aura ... Phase (4h-72h): Pain ... #Stages #diagnosis ... #neurology #headache
Migraine Prevention and Prophylaxis
Who to Consider: 
 β€’ β‰₯ 4 significant headaches or migraine attacks/month
 β€’
Contraindications to acute ... migraine treatments ... #treatment #prevention ... #prophylaxis #neurology ... #headache #management
Migraine Treatment Overview

 β€’ What is a Migraine?
 β€’ Pathophysiology
 β€’ Common Migraine Triggers
 β€’ Diagnosis
Migraine Treatment ... Triggers β€’ Diagnosis ... #Treatment #management ... #pharmacology # ... prophylaxis #neurology
Dengue Fever - Diagnosis and Management Summary 
Dengue Fever β†’ Dengue Hemorrhagic Fever β†’Dengue Hemorrhagic Shock
Presentation: Fever, Headache ... , Retroocular pain ... Positive Tourniquet test ... , Abdominal pain ... 7 days (Ig)M Treatment
Psittacosis 
Pathogen: Chlamydia psittaci - obligate intracellular gram negative
Transmission:
 β€’ Birds are the primary reservoir
 β€’
Symptoms: Malaise, headache ... non-productive cough, chest pain ... Microimmunofluorescent antibody test ... #microbiology #diagnosis ... #management #treatment
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 ... in cath lab Treatment ... #management