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    Inna Dama
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    Sarah, a 19-year-old female, has a history of headaches occurring 1-3 times per year for the past 2 years. The headaches last 6-8 hours and are relieved in a dark, quiet room. They are worsened by her menstrual cycle, certain foods like cheese, bright lights, and sounds. Based on her symptoms, family history of migraines, and normal exam and tests, she was diagnosed with migraines with aura. She was prescribed sumatriptan and valproic acid to treat and prevent future migraine attacks.

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    Sarah, a 19-year-old female, has a history of headaches occurring 1-3 times per year for the past 2 years. The headaches last 6-8 hours and are relieved in a dark, quiet room. They are worsened by her menstrual cycle, certain foods like cheese, bright lights, and sounds. Based on her symptoms, family history of migraines, and normal exam and tests, she was diagnosed with migraines with aura. She was prescribed sumatriptan and valproic acid to treat and prevent future migraine attacks.

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    © All Rights Reserved
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    28 views1 page

    Blank Diagram

    Uploaded by

    Inna Dama
    Sarah, a 19-year-old female, has a history of headaches occurring 1-3 times per year for the past 2 years. The headaches last 6-8 hours and are relieved in a dark, quiet room. They are worsened by her menstrual cycle, certain foods like cheese, bright lights, and sounds. Based on her symptoms, family history of migraines, and normal exam and tests, she was diagnosed with migraines with aura. She was prescribed sumatriptan and valproic acid to treat and prevent future migraine attacks.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    of 1

    she never

    sees bright had Exclude


    lights in Sarah, 19 lacrimation
    Aura visual front of her cluster
    y.o or
    eyes headache
    conjunctival
    injection

    - history headache since 2 years ago


    - 1-3x/year
    - duration : 6-8 hours
    - Ass symptom : Nausea TTH exclude by pain
    - Throbbing pain in the right temple characteristic and
    - relieved when patient goes into a intensity, associated
    dark and quite room symptom, associated
    - cannot tolerate sounds or bright factor
    lights Secondary headache
    - worsens with her menstrual exclude by History taking
    cycleandcertain foods especially and PE
    cheese
    - family history of migraine
    - PF normal
    PE :
    - General examination
    - TTV normal
    - CN examination is
    Migraine within normal
    - Motor examination
    revealed normal
    tones, strength, and
    reflexes
    Migraine
    with aura

    Lab/imaging :
    - CBC normal
    - Brain CT no
    lesion or mass
    Treatment : (The indication is
    - life style modification a decrease in
    - avoid cheese quality of life due
    - pharmacologic : Sumatriptan to migraine)
    100mg as non spesific abortif
    therapy because previously he
    had used NSAIDs but the
    migraines becomes more
    frequent
    - Prophylaxis because migraine
    attacks are recurrent and
    become more frequent: Valproic
    acid 250mg 2x/days

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