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
Migraine - Preventative Treatments

 β€’ Anticonvulsants: *Topiramate, *Sodium valproate, Gabapentin, Pregabalin
 β€’ Antidepressants: Amitriptyline, Venlafaxine, Duloxetine,
Migraine - Preventative ... Treatments ... neudrawlogy #Migraine ... prophylaxis #prevention #pharmacology ... #neurology
Migraine Treatment Overview

 β€’ What is a Migraine?
 β€’ Pathophysiology
 β€’ Common Migraine Triggers
 β€’ Diagnosis
Migraine Treatment ... β€’ What is a Migraine ... Prophylactic Treatment ... #pharmacology # ... prophylaxis #neurology
Pharmacological Treatment of Hepatorenal Syndrome (HRS)

Midodrine - Alpha agonist incr blood pressure incr renal perfusion pressure
Pharmacological Treatment ... of Hepatorenal Syndrome ... #HepatoRenal #Syndrome ... #Pharmacology # ... Medications #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 ... perform provocative tests ... in cath lab Treatment
Tolosa-Hunt Syndrome
What?
 β€’ Unilateral orbital/retrobulbar pain
 β€’ Paresis of the cranial nerves Ill, IV, VI
 β€’
Tolosa-Hunt Syndrome ... orbital/retrobulbar pain ... or orbit (MRI) Treatment ... #Tolosa #Hunt #Syndrome ... #TolosaHunt #neurology
Migraines in Children

Similar to migraine in adults - Main differences:
 β€’ Shorter Duration: 2h*-72h (In adults:
Migraines in Children ... Similar to migraine ... in adults - Main ... variants and episodic syndromes ... pediatrics #diagnosis #neurology
Primary and Secondary Headaches - Red Flags and Differential Diagnosis
Red Flags (SNOOP):
S - Systemic		
N - Neurologic
Systemic N - Neurologic ... Headache Sx change Migraine ... Patient Prefers to Rest ... Eye/Temple β€’ Pain ... quickly, deep pain
ED Opioid Stewardship Algorithm

Opioid Naive vs Opioid Tolerant

1. Patient Specific, Pain Syndrome-Targeted Approach
2. Combinations of Non-Pharmacologic
Patient Specific, Pain ... Syndrome-Targeted ... Combinations of Non-Pharmacologic ... Medication Assisted Treatment ... Algorithm #Management #Pain
Aimovig (Erenumab)
Mechanism: Calcitonin Gene-related Peptide Receptor Antagonist 
Indication: Preventive Treatment of Migraines:
Dosing: 70 mg SQ monthly,
Indication: Preventive Treatment ... of Migraines: ... monthly to prevent migraines ... Aimovig #Erenumab #Migraine ... #Neurology #Pharmacology