positive migraine report of patient

What are the results of a neurologic examination for migraine headache?

Although a thorough screening neurologic examination is essential, the results will be normal in most patients with headache. Evidence of autonomic nervous system involvement can be helpful, although most patients with migraine exhibit few or no findings. Serial neurologic examinations are recommended.

How can providers diagnose migraine?

Dr. Brian Plato explains how providers can diagnose migraine through a systematic set of questions to feel confident in their diagnosis. Dr. Robblee shares tips for preparing a patient for a virtual visit, conducting a neurological exam over video, keeping patients out of the emergency room and more.

How can we measure the success of preventive treatment for migraine?

A useful measure to quantify the degree of preventive treatment success is to calculate the percentage reduction in monthly migraine days or monthly headache days of moderate-to-severe intensity. However, a pragmatic approach is needed and clinicians should decide to pause preventive therapy on a case-by-case basis. Current standard of care

What is the clinical presentation of migraine headache?

Migraine Headache Clinical Presentation 1 Physical Examination. Although a thorough screening neurologic examination is essential, the results will be normal in most patients with headache. 2 Diagnostic Criteria. The diagnosis of migraine is based on the history... 3 Migraine Variants.

Are migraines positive feedback?

During a flare up in migraine activity, brainstem circuits increase this sensitivity. (Denuelle et al, 2011). This creates a "positive feedback" process as shown above.

How do you assess a patient with a migraine?

The HCP needs to ask the patient about the following3-5:onset, location, frequency, duration, severity, and character (e.g., throbbing versus constant) of the headache(s);existence of any aura or prodrome;any association between the headaches and sleep patterns, emotional factors, or food or alcohol intake;More items...•

How do you explain a migraine to Work?

Her suggestions:Leave Shame at the Door. First things first: Don't feel ashamed about your condition, Brateman says. ... Decide How Much Advance Warning Is Necessary. You might think through how often you get headaches or migraines and when they are debilitating. ... Your Boss Isn't a Doctor. ... Communicate. ... Follow Through.

What is migraine status?

Status migrainosus is a headache that doesn't respond to usual treatment or lasts longer than 72 hours. It is a relentless migraine attack that can require medical attention and sometimes a visit to the hospital.

What is a nursing diagnosis for headache?

Nursing Care Plan for Headache 2 Nursing Diagnosis: Activity Intolerance related to headache secondary to hypertension as evidenced by fatigue, elevated blood pressure in response to activity, and difficulty breathing.

What should I ask a patient about a headache?

Headache - what to ask your doctorAre there foods that I should stay away from that may make my headaches worse?Are there medicines or conditions in my home or work that may be causing my headaches?Will alcohol or smoking make my headaches worse?Will exercise help my headaches?More items...•

How do you use migraine in a sentence?

It was the most unbelievably horrendous migraine imaginable. The previous day she had been in hospital with a migraine. You are more likely to get migraines if they run in your family. It is often effective in stopping migraines and headaches.

How do you email in sick with a migraine?

Hi [Your Boss's Name], Due to a personal illness, I'm not going to be able to work tomorrow. I will be taking one of my paid sick days to rest and recover. I plan on checking my email periodically throughout the day but will let you know if my condition worsens and I need to go fully offline.

How do you ask off a migraine?

What to say – long version: “I'm sorry I can't make it into work today. I've got a severe migraine, a condition my neurologist has diagnosed. I can't predict how long it will last, but as soon as I feel better, I will begin to make up my work. In the meantime, someone is covering and/or I've notified someone else.

Is a 5 day migraine normal?

Most migraine headaches last about 4 hours, but severe ones can go for more than 3 days. It's common to get two to four headaches per month. Some people may get migraine headaches every few days, while others get them once or twice a year. This stage can last up to a day after a headache.

What is mild migraine?

Mild headache symptoms are unlikely to need immediate medical attention. These symptoms include mild head pain that is aching, squeezing, or band-like, on both sides of the head, generally above the level of the eyebrows. These headaches can occur often and may appear at predictable times.

What causes migraine?

The exact cause of migraines is unknown, but they're thought to be the result of abnormal brain activity temporarily affecting nerve signals, chemicals and blood vessels in the brain.

Managing Migraines

Currently, there's no cure for migraines, and thus, people who experience them need to learn to cope with them as best they can.

Keep a Positive Mindset

In addition to the lifestyle modifications above, you should also strive to keep a positive mindset when dealing with migraine headaches. Easier said than done, for sure, as the pain and disruption migraines cause can challenge even the most optimistic person’s ability to stay positive.

What to Ask a Pain Management Doctor

The U.S. News Health team delivers accurate information about health, nutrition and fitness, as well as in-depth medical condition guides. All of our stories rely on multiple, independent sources and experts in the field, such as medical doctors and licensed nutritionists.

What is the interictal state of migraine?

Patients with migraine often experience headache-like symptoms during the period between headache episodes , known as the interictal state. Juliana VanderPluym, MD, FAHS, shares how interictal state symptoms fit into the larger picture of life with migraine for some patients, and what we know about treatment options.

Is the Headache in Primary Care program being updated?

The First Contact — Headache in Primary Care program is always being updated as new information and resources become available. Please let us know what other resources you would find helpful.

How does migraine affect children?

Dealing with pediatric migraine can significantly affect a child's ability to focus in class and keep up with their peers. However, a few key accommodations can make a big difference, helping the child manage their migraine and allowing them a chance to thrive.

How many different types of headaches are there?

There are over 100 different types of headaches, so pinpointing which one is ailing you can take some time, and probably a visit with a headache specialist. Use our guide to help narrow down the most common types of migraine. Migraine is a disabling disease that impacts more than 37 million Americans.

How many people have migraines?

Migraine is a disabling disease that impacts more than 37 million Americans. To help those coping with a recent diagnosis, lean on this guide to show you how to communicate your needs to your support network, better understand your diagnosis, and take care of yourself by finding hope through pain. Download Our Guide.

Can migraines be a summer?

With more sunlight and longer days, summer can be a difficult time for those with migraine, but there are ways to help make the season feel less like a sunburn and more like a refreshing glass of lemonade. Check out our tips to make the most of the season while you manage migraine this summer. Download Our Guide.

Can you talk about migraines?

It can be hard to find the words to talk about your migraine, especially when someone says something incorrect or insensitive. Download Our Guide. While migraine can be just as severe in children as it is in adults, children often struggle to explain their symptoms and advocate for their health.

What is the migraine that causes dilated pupils?

Ophthalmoplegic migraine. Ophthalmoplegic migraine is characterized by transient palsies of the extraocular muscle with dilated pupils and eye pain. This migraine variant has been reclassified by the International Headache Society as a neuralgia and is thought to be caused by idiopathic inflammatory neuritis.

How long does a migraine aura last?

It usually develops over 5–20 minutes and lasts less than 60 minutes. The aura can be visual, sensory, or motor or any combination of these. Visual symptoms.

What is it called when you have a headache but not aura?

When an aura is not followed by a headache, it is called a migraine equivalent or acephalic migraine. This is reported most commonly in patients older than 40 years who have a history of recurrent headache.

What nerve is involved in migraine?

In the acute phase, enhancement of the cisternal segment of the third cranial nerve occurs. Retinal migraine. Rarely, patients develop retinal and optic nerve involvement during or before a migraine headache and present with visual disturbance, papilledema, and retinal hemorrhages affecting 1 eye.

What are motor symptoms?

Motor symptoms. Motor symptoms may occur in 18% of patients and usually are associated with sensory symptoms. Motor symptoms often are described as a sense of heaviness of the limbs before a headache but without any true weakness. Speech and language disturbances have been reported in 17–20% of patients.

Where does a migraine feel?

The headache is initially unilateral and localized in the frontotemporal and ocular area, but pain can be felt anywhere around the head or neck.

How long does it take for a child to have a migraine?

In cyclic vomiting, the child has at least 5 attacks of intense nausea and vomiting ranging from 1 hour to 5 days.

What causes headaches and migraines?

Balance problems, falling. Dizziness. Vision changes (blurry vision , double vision, blind spots) Neurological tests focus on ruling out diseases of the brain or nerves that may also cause headaches and migraines. The vast majority of headaches turn out to be benign in nature.

What causes a headache?

Some of the tests look for a physical or structural abnormality in the brain that may cause your headache, such as: Tumor. Brain abscess (an infection of the brain) Hemorrhage (bleeding within the brain) Bacterial or viral meningitis (an infection or inflammation of the membrane that covers the brain and spinal cord)

What does a doctor look for in a headache?

The doctor will look for signs and symptoms of an illness that may be causing the headaches, such as: Neurological tests focus on ruling out diseases of the brain or nerves that may also cause headaches and migraines. The vast majority of headaches turn out to be benign in nature.

What is the term for the inflammation of the brain membrane?

Bacterial or viral meningitis (an infection or inflammation of the membrane that covers the brain and spinal cord) Pseudotumor cerebri (increased intracranial pressure) Hydrocephalus (abnormal buildup of fluid in the brain) Infection of the brain such as meningitis or Lyme disease.

What to do if you have periods?

If you get periods, write down their details. Physical and Neurological Exams to Diagnose Headaches. After collecting your headache history, the doctor will perform a complete physical and neurological exam. The doctor will look for signs and symptoms of an illness that may be causing the headaches, such as: Fever or abnormalities in breathing, ...

What is aneurysm in a blood vessel?

Injuries. Aneurysm (a bulge in the wall of a blood vessel that can leak or burst) Psychological Evaluation for Diagnosing Headaches. An interview with a psychologist is not a routine part of a headache evaluation, but it may be done to identify stress factors triggering your headaches.

What are the symptoms of a headache?

What other symptoms or warning signs occur with a headache (such as weakness, nausea, sensitivity to light or noise, appetite changes, changes in attitude or behavior) How often you get headaches.

Abstract

Over 70% of the estimated 5 million office visits per year for migraine headache are to family physicians. Both the number of visits and proportion of migraine patients seeking medical care are increasing rapidly.

Methods

An observational, cross-sectional study was conducted using a 15-item survey sent to adult patients who had consulted family physicians in 10 practices associated with the Kansas Practice Research Network during 2002. Patients were identified by use of migraine-specific International Classification Disease Ninth Revision codes for the consultation.

Results

The 10 participating practices identified 992 patients aged ≥18 years who consulted at least once during 2002 for a migraine-related diagnosis. After 3 mailings, 447 surveys suitable for analysis were returned (response rate 45%).

Discussion

No large studies have directly assessed patient satisfaction with the treatment of migraine in primary care. Our results suggest it could be much higher than is commonly reported.

Acknowledgments

We acknowledge substantial assistance from Lolem Ngong, Terry Ast, Nicole Rogers, and Mary Hursey in the conduct of the study and preparation of this manuscript and the assistance of the physicians of the Kansas Practice Research Network.