Mind the Migraines

A shift would not be complete without one headache patient. I would wager that is the same wherever you practice because I treated migraine headache patients from remote Himalayan villages to tropical islands in the Caribbean.

The worrisome causes of headaches such as pregnant + hypertension + headache; new onset after age 50; headache + fever, headache + altered mental status; abrupt onset headache; and headache + painful red eye to name a few should prompt investigation and immediate treatment.

But for the treatment of one of the most common types of headache, the migraine, check out the EM:RAP August Pharmacology Rounds: What Works for Acute Migraine? by Rob Orman MD and Bryan Hayes PharmD.

Migraines have been recorded in medical history for a long time, the first found documentation in the Ebers Papyrus written around 1500 BCE. For you language buffs the word migraine is derived from the Greek word hemikrania. This term was corrupted into hemigranea and the common word comes from the French translation, migraine.

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