Center of Excellence: Migraine: Cases & Quizzes

 
 
  • Patients with frequent migraine attacks usually require both acute (abortive) and preventive (prophylactic) therapy. Refresh and test your knowledge with this short quiz.
  • The patient is a 25-year-old who is currently 24 weeks pregnant. Her pregnancy so far has been uneventful other than worsening headaches. Can you make the correct diagnosis?
  • Triptans and SSRIs: Is Serotonin Syndrome Really a Risk? While the FDA--and EHRs--warn against the combination of triptans and SSRIs, is serotonin syndrome really a risk with use of this combination?
  • A 39-year-old woman experiences vomiting and a severe occipital headache that she describes as the worst she has ever had. She suffered a similar headache two days ago.
  • A teenager presents with a headache, nausea, vomiting, and diplopia. She feels dizzy and cannot walk. She has a history of severe episodic headaches during the past 2 weeks. What is the diagnosis?
  • Many different types of headaches are recognized, including migraine, cluster, and tension. Test yourself on the diagnosis, workup, and treatment of various headache types with this short quiz.
  • A young woman presents to the clinic after a hospital visit for a 5-year history of progressively frequent headaches. She has a headache daily, with 1 severe headache per week. What is the diagnosis?
  • In the United States, more than 30 million people have one or more migraine headaches per year. Do you know best practices for diagnosis and treatment? Test yourself with this short quiz.
  • A 72-Year-Old Man With a Sudden, Severe Headache A 72-year-old man presents with a severe headache that began suddenly a few hours ago. Associated symptoms include nausea, vomiting, and neck pain. What's the diagnosis?
  • A 14-year-old boy presents with a worsening headache over the past 2 days. His parents gave him ibuprofen; however, the headache persisted, and he has been sweaty and flushed. What's the diagnosis?
  • Temporomandibular disorder, or temporomandibular joint (TMJ) syndrome, is the most common cause of facial pain after toothache. Test your knowledge with our quick quiz.
  • A 26-year-old woman presents with confusion, agitation, sweating, and abnormal involuntary eye movement (diaphoresis and ocular clonus). What's the diagnosis?
  • Over-the-counter drugs are usually safe. However, if used outside of recommendations, they can lead to kidney failure, heart conditions, memory loss, or even death. Test your knowledge with our quiz.
  • Quiz: The Latest on Treating Nausea/Vomiting of Pregnancy How much do you know about the latest guidelines on treating pregnancy nausea? Test your knowledge with this quiz.
  • A 38-Year-Old Woman With Anisocoria A 38-year-old woman presents with anisocoria. What is its most likely cause?
  • A 72-year-old man with diagnosed Parkinson disease is suffering from a 1-month history of episodic altered mental status, agitation, and hallucinations. What is the diagnosis?
  • How Much Do You Know About CAM? How much do you know about the evidence -- or lack thereof -- for commonly used complementary and alternative therapies?
  • What Can CAM Do for Anxiety? From acupuncture to kava kava, a variety of CAM modalities have been suggested for management of anxiety. But what does the evidence say?
  • Paramedics bring a 26-year-old man to the ED with acute-onset altered mental status. He has a history of back pain. An open, unlabeled pillbox was found. An ECG is ordered. What is the diagnosis?
  • Chronic Headache: Is a CAM Therapy Worth a Try? Patients are attempting CAM therapies for headache, with or without the recommendation of their healthcare provider. What does the evidence say?
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