Doc750
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A 20 yr old woman presents to your office complaining of left sided throbbing headaches that are preceded by flashing lights and tingling in her face and extremities. She also notes that she suffers from nausea and vomiting at the time of the headaches. The headaches are precipitated by red wine and choclate and are especially frequent during her menstrual period. She states that lying down in a dark, quiet room helps to relieve the pain. What is the most likely diagnosis? (be specific)
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| cool doctor
Forum Junior
Topics: 1
Posts: 226
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Migrane HA
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| darkhorse
Forum Elite
Topics: 56
Posts: 275
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basilar migraine
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When going gets tough, the tough gets going
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| Doc750
transfer:step 3 prison
Topics: 52
Posts: 636
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Experience is a hard teacher because she gives the test first, and the lesson afterwards.
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| darkhorse
Forum Elite
Topics: 56
Posts: 275
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migraine with aura
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When going gets tough, the tough gets going
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| dr.wad
Forum Senior
Topics: 3
Posts: 335
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classic migraine
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| Doc750
transfer:step 3 prison
Topics: 52
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correct classic migraine
D/Dx include
common migraine (ie migraine without aura) - has the same fx as a classic migraine but is not preceded by a prodrome (ie parathesias, visual sx, etc)
Cluster headache- unilateral knife like headache that occurs at the same time every day. It is associated with lacrimation, rhinorrhea, and facial flushing.
Tension headache- is a diffuse bandlike headache that usually occurs at the end of the day and is induced by stress.
Pseudotumor cerebri tends to occur in obese females and presents with a constant headache, raised intracranial presure, and papilledema
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Experience is a hard teacher because she gives the test first, and the lesson afterwards.
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