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 ... Triggers β€’ Diagnosis ... #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
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
BEHIND - Stroke Mimics Mnemonic
Brain: Mass, Hemorrhage, Contusion
Epilepsy: Post Ictal State, 
Hyponatremia, Hypogycemia
Intoxication, Infection
Neuro: Migraine, Multiple
Infection Neuro: Migraine ... Mnemonic #CVA #Neurology ... #Diagnosis #Differential
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 ... Phase (4h-72h): Pain ... fulfilling the migraine ... #Stages #diagnosis ... #neurology #headache
Stroke Mimics - Differential Diagnosis - MINT Mnemonic
 β€’ Metabolic: Hyper-glycemia, Hypoglycemia, Wernicke's encephalopathy, Mitochondrial Encephalopathy
- Differential Diagnosis ... CNS abscess β€’ Neurologic ... Brain Injury, Migraine ... #Differential #Diagnosis ... MINT #Mnemonic #neurology