Jeremy Lickteig @DoctorJerm
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to-be rural KS doc 🤠
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POUND Mnemonic for Diagnosis of Migraine Headache
P Is the headache Pulsatile in quality?
O Is the duration
for Diagnosis of Migraine ... Headache P Is ... ≥ 4 features LR ... 0.41 #Migraine ... #PrimaryCare #Neurology
Pharmacotherapy for Migraine Prophylaxis 

Who is indicated for migraine prophylaxis? Patients who experience more than 3
headaches per month ... or at least 8 headache ... #Medications #Table ... #Pharmacology # ... Management #Neurology
Oral Antihypertensive Medications - Selection by Comorbidities
Comorbidities: 
 • Stable Angina, HFpEF, HFrEF, AFib, TAA/Marfan, Aortic
Comorbidities: • Stable ... Pregnancy, Cluster Headache ... , Migraine, Opioid ... Comorbidities #pharmacology ... #table #management
Acute ED Migraine Therapy and Preventative Therapy Algorithm:
Acute migraine
 • IV NS IL bolus then infusion
Preventative Therapy Algorithm ... 20 mg/min -> Neurology ... #management #algorithm ... #prophylaxis #neurology ... #cocktail #prophylaxis
Triptan Selection - Migraine Management
Choosing triptans:
 • Reponse to given triptan do not predict to others
medication-overuse headache ... Management #treatment #neurology ... #pharmacology # ... selection #headache ... #neurology