Notes in 02_Migraines

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Published 02/10/2024 Presentation of {{c2::Migraine}} {{c1::Unilateral pounding or throbbing headaches worsened by movement}} {{c1::Discomfort with lights (photophobia)}} …
Published 02/10/2024 {{c2::Aura}} describes {{c1::temporary vision then sensory then speech changes that last between 15-60 mins (sparks, blurring, lines, loss of vision)}…
Published 02/10/2024 What is the difference between Aura and Transient Ischaemic Attack{{c1::Aura is the term used to describe the transient vision then sensory then …
Published 02/10/2024 Chronic migraine is {{c1::headache on ≥ 15 days per month, of which ≥ 8 days have to be migraine, for more than 3 months}}
Published 02/10/2024 Stages/Progression of Migraine[1] {{c1::Prodrome/Premonitory}}[2] {{c1::Aura (lasting from 15 to 60 mins in 1/3 of cases)}}[3] {{c1::He…
Published 02/10/2024 A {{c1::headache diary}} is an investigation recommended to follow the pattern and progression of Migraines
Published 02/10/2024 {{c2::CT/MRI}} are investigations done if there are {{c1::red-flag symptoms (e.g. irreversible neurological changes)}} associated with Migraines
Published 02/10/2024 Abortive Treatment of Migraines [1] {{c1::Aspirin}}[2] {{c1::NSAIDs}}[3] {{c1::Triptans}}
Published 02/10/2024 There is a risk of Medication Overuse headache when using {{c1::NSAIDs}} to treat Migraines for {{c2::>15}} days/month
Published 02/10/2024 Prophylactic Treatment of Migraines[1] {{c1::Propranolol}}[2] {{c1::Anti-epileptics e.g. Topiramate, Valproate (avoid in pregnancy)}}[3] {{c1::Tr…
Published 02/10/2024 Abortive Treatment of Migraines during Pregnancy[1] {{c1::Paracetamol}}[2] {{c1::NSAIDs (1st two trimesters only)}}[3] {{c1::Triptans}}
Published 02/10/2024 In the context of Migraine treatment, {{c1::NSAIDs}} are contraindicated in the {{c2::third}} trimester, because they promote premature closure of the…
Published 02/10/2024 Prophylactic Treatment of Migraines during Pregnancy is done using {{c1::Propranolol}} or {{c1::Tricyclic antidepressants e.g. Amitriptyline}}
Published 02/10/2024 In the context of sexual health, {{c1::combined oral contraceptive pills}} are contraindicated in patients with {{c2::migraine with aura}}
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