Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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6 results
Migraine without Aura
Diagnostic Criteria (ICHD-3):
A) At least 5 attacks fulfilling criteria B-D:
B) Headache attacks lasting 4-72
Migraine without ... Moderate or severe pain ... neudrawlogy #Migraine ... #criteria #neurology ... #headache #ICHD3
Stages of Migraine
 • Prodromal or Premonitory Phase (1-2 days): Fatigue, Yawning, Food cravings, Pallor, Nausea,
Brainstem → • Headache ... Phase (4h-72h): Pain ... #Stages #diagnosis ... #neurology #headache ... #ICHD3
Primary and Secondary Headaches - Red Flags and Differential Diagnosis
Red Flags (SNOOP):
S - Systemic		
N - Neurologic
and Differential Diagnosis ... Systemic N - Neurologic ... Sx change Migraine ... Eye/Temple • Pain ... quickly, deep pain
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
disorders (Raynaud, migraine ... anginal chest pain ... tolerance • Pain ... perform provocative tests ... in cath lab Treatment
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
with systemic, neurologic ... claudication, headaches ... claudication: pain ... the “Chewing gum test ... Treatment of GCA
Diagnosis and Management of Achalasia - ACG Guidelines

Who to suspect?
 • Patients presenting with progressive dysphagia
of Achalasia - ACG ... heart burn, chest pain ... What test to order ... Botulinum toxin • Pharmacologic ... #Management #ACG