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
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
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
Stages of Migraine
 β€’ Prodromal or Premonitory Phase (1-2 days): Fatigue, Yawning, Food cravings, Pallor, Nausea,
Brainstem β†’ β€’ Headache ... Phase (4h-72h): Pain ... days/weeks): No symptoms ... #Stages #diagnosis ... #neurology #headache
Migraine with Aura
Diagnostic Criteria (ICHD-3):
A) At least 2 attacks fulfilling criteria B and C:
B) One or
Migraine with Aura ... 60 minutes, by headache ... neudrawlogy #Migraine ... #criteria #neurology ... #headache #ICHD3
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
Migraine Prevention and Prophylaxis
Who to Consider: 
 β€’ β‰₯ 4 significant headaches or migraine attacks/month
 β€’
Migraine Prevention ... treatments β€’ ... Severe/DisabIing symptoms ... #treatment #prevention ... #prophylaxis #neurology
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
Psittacosis 
Pathogen: Chlamydia psittaci - obligate intracellular gram negative
Transmission:
 β€’ Birds are the primary reservoir
 β€’
cage cleaning Symptoms ... : Malaise, headache ... non-productive cough, chest pain ... : β€’ Classic symptoms ... Microimmunofluorescent antibody test
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