Dr. Gerald Diaz @GeraldMD
29.8M 13.9K 7.3K
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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Migraine Treatment Overview

 β€’ What is a Migraine?
 β€’ Pathophysiology
 β€’ Common Migraine Triggers
 β€’ Diagnosis
Migraine Treatment ... β€’ What is a Migraine ... Triggers β€’ Diagnosis ... #pharmacology # ... prophylaxis #neurology
Migraine Prevention and Prophylaxis
Who to Consider: 
 β€’ β‰₯ 4 significant headaches or migraine attacks/month
 β€’
Migraine Prevention ... and Prophylaxis ... treatments β€’ ... #treatment #prevention ... #prophylaxis #neurology
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
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 β€’ Pain ... quickly, deep pain
Migraine - Preventative Treatments

 β€’ Anticonvulsants: *Topiramate, *Sodium valproate, Gabapentin, Pregabalin
 β€’ Antidepressants: Amitriptyline, Venlafaxine, Duloxetine,
Migraine - Preventative ... Treatments ... #management #prophylaxis ... #prevention #pharmacology ... #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 ... neudrawlogy #Migraine ... #criteria #neurology
Stages of Migraine
 β€’ Prodromal or Premonitory Phase (1-2 days): Fatigue, Yawning, Food cravings, Pallor, Nausea,
Stages of Migraine ... Brainstem β†’ β€’ Headache ... Phase (4h-72h): Pain ... #Stages #diagnosis ... #neurology #headache
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
Migraines in Children

Similar to migraine in adults - Main differences:
 β€’ Shorter Duration: 2h*-72h (In adults:
Migraines in Children ... in adults - Main ... unaccompanied by headache ... peds #pediatrics #diagnosis ... #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