Accepted at 8:16 a.m. Jan, 19, 2024 by herstein.jacob
Author: shmuelsash
Related Note: 1557514244229 1
Rationale for change

this is a more comprehensive card compared w/ currently tagged card
Source: UWorld - Step 2 3619

Text
Overview of migraine treatment

Prophylaxis, 1st-line: {{c1::propranolol, topiramate, or valproate::3}}

Prophylaxis, 2nd-line: {{c1::amitriptyline}}

Abortive, mild: {{c2::supportive/NSAIDs::2}}

Abortive, moderate-to-severe: {{c2::triptans, ergots, antiemetics, or CGRP antagonists::4}}
Extra
- Never combine triptans and ergotamine due to their drug interaction profile (combination can lead to coronary vasospasm and serotonin syndrome)

- Avoid topiramate, valproate, ergots, and triptans in pregnant patients

TypeLocationFindingsTiming (hr)Treatment
TensionBilateralBand-like constant pain4 - 6NSAIDs
Amitriptyline
MigraineUnilateralAura, photophobia, phonophobia, nausea, vomiting, throbbing pain4 - 72NSAIDs
Triptans*
Dihydroergotamine*
β-blockers (prophylaxis)
ClusterUnilateralLacrimation, rhinorrhea, ptosis, miosis
Multiple headaches per day per week then remission		15 min - 3100% O2 or sumatriptan
*Avoid in pregnant patients
Lecture Notes
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Missed Questions
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Pathoma
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Boards and Beyond
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First Aid
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Sketchy
Sketchy 2






Watch Migraine
Sketchy Extra
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Picmonic
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Pixorize






Physeo
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Bootcamp
Watch associated Bootcamp video - Antiemetics

Watch associated Bootcamp video - Headache: Migraine
OME

Additional Resources
One by one
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Changed Tags
#AK_Step2_v12::#UWorld::3619
#AK_Step1_v12::#Pixorize::03_Pharmacology::14_Antiepileptics::01_Valproic_Acid_(Valproate) #AK_Step2_v12::$AnKingUpdates::$Errata::v10-minor_text_changes #AK_Step2_v12::#AMBOSS::kL0mBg !AK_UpdateTags::Step2decks::Cheesy-Dorian-(M3)::xStep-2-NBME-and-Self-Assessments::SAs #AK_Step2_v12::#OME::Clinical::02_Neurology::04_Headache #AK_Step2_v12::#UWorld::Step::19006 #AK_Step2_v12::!FLAG_THESE_CARDS::Potential_duplicates #AK_Step1_v12::#Pixorize::03_Pharmacology::14_Antiepileptics::08_Topiramate #AK_Step1_v12::#Pixorize::03_Pharmacology::24_Alpha_&_Beta_Blockers_(New)::08_Clinical_Use_of_Beta_Blockers #AK_Step2_v12::#Resources_by_rotation::tests_dorian::sa1 #AK_Step2_v12::#Subjects::Neurology::10_Headaches::Migraine !AK_UpdateTags::step2PotentialDupes::ausername::333more #AK_Step2_v12::#UWorld::COMLEX::104099 #AK_Step1_v12::#Bootcamp::Neurology::27_Headache::02_Migraine #AK_Step2_v12::#Subjects::Neurology::10_Headaches::Migraine::Management !AK_UpdateTags::^temporary::ImageFix::Table #AK_Step2_v12::#SketchyNeurology::03_Pain,_Palsies,_Sensory_Disorders::01_Headache::01_Migraine #AK_Step2_v12::#OME::02_Neurology::04_Headache #AK_Original_Decks::Step_2::Cheesy_Dorian_(M3) #AK_Step2_v12::Original_decks::Dorian::step2::sa1 #AK_Step2_v12::#UWorld::COMLEX::100420 #AK_Step2_v12::#UWorld::Step::15684 #AK_Step1_v12::#Bootcamp::Gastroenterology::10_Pharmacology::06_Antiemetics #AK_Step2_v12::#UWorld::Step::3619 !AK_UpdateTags::Table::Headaches #AK_Step2_v12::#B&B::10_Neuro::05_Other_Topics::09_Headache #AK_Step2_v12::#UWorld::COMLEX::104088 #AK_Step2_v12::#UWorld::Step::18968