Acute Migraine
Medgeeks with Andrew Reid
Medgeeks
4.8 • 996 Ratings
🗓️ 17 January 2019
⏱️ 11 minutes
🧾️ Download transcript
Summary
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. As soon as she got off work, the patient went home, and locked herself in a dark room - which helped.
She has had headaches in the past, but this was a lot worse, which prompted her visit today.
What is your diagnosis?
To me, this sounds very much like a migraine....
In today's podcast, we'll touch on:
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
-
Our goal at Medgeeks is to help you live the life you want to live as you navigate a career in medicine.
This looks different to everyone, which is why we take such a personalized approach.
Whether you want to ...
- Stop taking your work home
- Have the skillset to work autonomously
- Improve your work life balance
https://medgeeks.co/about-us
-
Check out our free Facebook group, where we share daily clinical pearls, advice, and practice changing updates:
-
This podcast should not be used in any legal capacity whatsoever, including but not limited to establishing standard of care in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast, video, or blog.
Transcript
Click on a timestamp to play from that location
| 0:00.0 | Team what's up, Zach, back here for another med geeks podcast. |
| 0:05.0 | So you sign up for your first patient on your ER shift, |
| 0:08.0 | and the chief complaint is headache. |
| 0:10.0 | A 38-year-old female comes in in two day history of headache. She describes 8 |
| 0:16.8 | out of 10 pain over the left side of her head. It's pulsating in quality. |
| 0:21.1 | Denies any radiation of the pain states the pain started |
| 0:25.0 | while she was at work and continued to worsen. She took Motrin for the pain |
| 0:29.4 | with minimal improvement states as soon as she got out of work yesterday, she locked herself in her |
| 0:35.0 | room with the lights off and it helped the pain. |
| 0:38.2 | Endorses some nausea. |
| 0:40.4 | She works as a teacher and had to call out of work today because the pain was just so severe. |
| 0:45.0 | She states that she has headaches like this in the past, however, this one was just way worse and prompted her to come into the emergency room. She denies |
| 0:54.7 | fevers, vomiting, neck pain or stiffness, any temporal pain, vision changes, |
| 1:01.3 | vertigo, any extremity weakness, numbness or tingling, no difficulties with |
| 1:06.8 | ambulation. |
| 1:08.4 | So what do you think? |
| 1:10.8 | Well, I would say that this sounds very much like a migraine. |
| 1:15.0 | So let's do a quick rundown of the evaluation and management of migraines in the ED setting. |
| 1:21.0 | And most importantly, what signs and symptoms do you not want to miss, |
| 1:25.8 | aka what are the red flags? So, epidemiology, females ages 30 to 40 most commonly affected population but don't put your |
| 1:37.4 | blinders on keep it open because it can affect anyone. Why do we care so much about migrants? Well, it's disabling. People |
| 1:46.9 | come to the ER all the time, urgent care all the time, and outpatient primary care |
... |
Please login to see the full transcript.
Disclaimer: The podcast and artwork embedded on this page are from Medgeeks, and are the property of its owner and not affiliated with or endorsed by Tapesearch.
Generated transcripts are the property of Medgeeks and are distributed freely under the Fair Use doctrine. Transcripts generated by Tapesearch are not guaranteed to be accurate.
Copyright © Tapesearch 2026.