Acute Migraine

2019-01-17

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As you start your shift, your first patient comes in with a chief complaint of headache. A 38 year old female comes in with a two day history of headache. She describes 8/10 pain on the left side of her head and is pulsating in quality. She denies any radiation and states the pain started while she was at work and continued to worsen. She took Motrin with minimal improvement and as soon as she got off work she went home and locked her self in her room with the lights off - which helped. She has had...

As you start your shift, your first patient comes in with a chief complaint of headache.

A 38 year old female comes in with a two day history of headache. She describes 8/10 pain on the left side of her head and is pulsating in quality.

She denies any radiation and states the pain started while she was at work and continued to worsen. She took Motrin with minimal improvement and as soon as she got off work she went home and locked her self in her room with the lights off - which helped.

She has had headaches in the past, but this was a lot worse, which prompted her visit today.

This sounds very much like a migraine.

Today, we'll touch on:

Common and Classic Migraines + the difference between the two Signs and symptoms you don't want to miss aka red flags Dangerous differentials Who needs imaging? Treating acute migraine in the ED setting

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