Migraine
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Introduction
Migraine - 1/30 children, 1/10 adults, 1/4 physicians.
Definition
- at least 5 attacks
- last 4-72 hours; well otherwise
- at least two of the following characteristics:
- unilateral
- pulsating
- moderate or severe pain intensity
- aggragation by or causing avoidance of routine physical activity
- nausea/vomiting or photophobia/phonophobia
- not attributed to another disorder
Aura
Management
Identify and avoid triggers; a diary can be very helpful. Two strikes and you're out.
- chocolate
- red wine
- many many others
Sleep well to prevent migraines; for many people, getting to sleep right away can reduce them.
Reduce stress.
Smells
Lights can be a trigger.
Make sure people are eating
Medications
Take meds early and in sufficient dosage.
Pediatrics: tryptans do not work well.
The Case of...
a simple case introducing clincial presentation and calling for a differential diagnosis. To get students thinking.
Causes and Risk Factors
Pathophysiology
Signs and Symptoms
- history
- physical exam
History
Physical Exam
Investigations
- lab investigations
- diagnostic imaging
Lab Investigations
Diagnostic Imaging
Differential Diagnosis
Treatments
Consequences and Course
The Case of...
Case #2 - a small story wrapping it all up and asking about esp management.
Additional Resources
Topic Development
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