Migraine Disorders Case Study

constant hunger, and frequent urination. She denies any pain, burning, or low-back pain on urination.

Patient is a 19-year-old right-handed white female who is a fair historian. She states that she started having headaches as a child. Her father told her that he also had headaches and that they would eventually go away. She describes having a severe headache, which she calls her first migraine, after softball practice at age 12. Menarche was at age 13 with no change in her headaches. Her headaches have not been menstrually related. There was no clear change in her headaches during pregnancy or in the postpartum period. She states that she gets a dull headache two to three days out of a week. This is in variable locations on her head, but can also be a nuchal. The pain is of variable quality, but it does worsen with exertion. She also gets more

Discuss weight loss since her BMI is 27.8. Per Hopkins School Medicine study, Wednesday is five times more likely to have chronic migraines due to her obesity

Mrs. Greene is a 52-year-old female here today for followup regarding her migraines and hypothyroidism.

she is able to identify the initiation of Migraine and take Sumatriptan, Naproxen, before symptoms worsen, and her pain level is controlled at a scale of 3/10; 2. she will take Metochlopromide at the onset of Migraine, and will report that the Migraine does not affect her oral intake; 3. she reports her photophobia stay the same but since headache improved, she does not need to bed rest; 4. she is able to provide a complete Migraine calendar with all information provided in details; 5. she is able to name at least 2 aggravating factors that will increase her Migraine; 6. she is able to list the food items that are not healthy (from her food intake diary) and identify the healthy alternatives; 7. she is able to have at least 5-6 hours of continuous sleep on a daily bases; 8. she will only work Friday and Saturday from 2100-0200 when an assignment or exam is in section; 9. she will report a regular attendance on Yoga class, and name at least 2 relaxation technique that is effective for her; 10. she will ask questions and expresses her concerns on the

Patient Amy Ford has come into the office complaining of abdominal pain, increasing amounts of diarrhea and has been dehydrated. Amy is a very active 30-year-old with no children and travels all over the United States and stays at camp grounds in her RV. Amy has said that she previously bathed in a nearby lake at her camp site and has poor hand hygiene. Amy also enjoys hiking and traveling to different State land marks. Her overall health has been very good until approximately a month ago when the symptoms started. Her family history has no signs of heart disease or canner. She has come to the doctors because she thinks that something is wrong with her stomach or intestines.

-She likes to complain about relatively minor physical problems and distress. She tends to have a lot of physical problems such as having frequent headaches and feeling nauseated.

Then she started noticing headaches at her menses. They start five days before her period and go through her period. Sometimes it can last beyond her period. She has otherwise, one to two headaches a week outside of her menses. These headaches again are pan cephalic. Sometimes it feels like she is wearing a helmet. They are knifelike and retrobulbar. They are worsened with exertion. She gets nausea, photophobia, and phonophobia with them. Last month, she had an episode of graying out of her vision and then zigzag lines, followed by dizziness and then after several minutes was followed by a headache. Last month, she had an episode of vertigo upon arising in the morning for 10 minutes, after that she had a headache. Otherwise, she has no neurological aura. There is no clear precipitant, except for stress. She has been on amitriptyline 10 mg for two months with no significant change in her headaches. Imitrex 100 mg sometimes helps. She recently took an over-the-counter medication with Tylenol and caffeine and

Excellent POST! Your detailed patient symptoms clearly outline a moderate migraine clinical presentation. Each patient presents differently is also a key to recognizing how to positively treat to meet individual factors (allergies, drug interactions, pregnancy concerns, age ect). For example, Woo and Robinson (2016) identify serotonin syndrome developments with interactions with triptans (p. 1043). Reviewing each patient’s medication list comprehensively is imperative and utilizing resources such as a pharmacist, can positively prevent potential detrimental events.

migraine headaches and are not active in the same respect in those who do not

In the past when she has had indigestion, it has been more in the epigastric area and this was clearly in the chest. There was no difference with exertion. There was no difference with eating or drinking. There was no difference with position and it lasted all day on the 20th and into the 21st, as well. She had trouble sleeping at night because of the discomfort and ultimately on the 22nd, elected to go to the emergency room. There, she was evaluated at Portsmouth Hospital by the physician. She had blood work, chest x-ray, and EKG done. She was admitted to the hospital and the following morning had a stress echo, which was read as normal. The thought was that this could be coming from gastroesophageal reflux disease and she was placed on Protonix 40 mg daily and she has been on that since discharge. She said it took several days for it to work and just in the last two to three days has she noticed that the symptoms are improved and in fact, she is completely asymptomatic today in the office. She has not made any other changes that she has been able to identify that she thinks might have helped her symptoms. She does not remember having any abdominal pain with it. Again, no nausea no vomiting, no urinary symptoms with

Migraine headaches are not normal headaches. They are often a chronic, on-and-off condition, causing sufferers various issues in all aspects of life. School and work become more difficult, and lives are disrupted. In order to reduce the effect of migraine headaches on Americans, it is important to understand the condition and its effects.

“Understanding Migraine Headaches,” a pop culture article, prevails itself as a concise, but accurate description about migraines, its causes, treatments, and other interesting facts. This article explained migraines to be highly concentrated and severe headaches. It also revealed the fact that auras often precede a migraine allowing a migraineur to be prepared for the coming wrath. The article also describes the possible causes of migraines- disturbances in nerve patterns. Along with this, the article also explained about treatments for migraines which happen to be medication which can lower the pain of a migraine and prevent them for short periods of time. The article even talked about rebound headaches -headaches which come as a result of overmedication. The article even described the effect of migraines on strokes.

Patient is a 25-year old right-handed white female who started having around age 11 or 12. Menarche was around age 13. After menarche, she did notice some correlation with her milder headaches and her menses. That has been persistent throughout. She also was having headaches at other times. She gets two kinds of headaches. Her mild headaches are up to twice a week. She had been taking Excedrin, Aleve, Tylenol, or Advil for these. She has a more severe headache that may be preceded or associated with a scintillating scotoma. She is unclear about the quality of the blurred vision, although she notes that when she closes her eyes during one of these episodes, she does still see spots suggesting, a positive visual phenomenon, but she states in this visual blurring last the whole two hours that the headaches lasts. The headache is throbbing with photophobia, phonophobia, osmophobia, nausea. These headaches with

Migraine headaches, on Inderal long acting on a prophylactic basis. She had been taking ibuprofen, but was afraid to take it based on side effects that she read. I did suggest she could try Tylenol, but if this makes no difference at all that if she is only taking 200 to 400 mg three to four times per week and this does help her migraines, it is probably fairly low risk based on the benefit that she gets from it. Also suggested however, that if she has bad migraines, we may want to try sumatriptan once again. In the past, she was getting quite significant nausea and vomiting, but does not get these at this point. She is willing to try p.o. dose. I did give her Imitrex 50 mg one p.o. daily p.r.n., may repeat in two hours x1 dose of continuous headache.