READING THE SCORE

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READING THE SCORE by Mind Map: READING THE SCORE

1. management

1.1. life style adjusments

1.1.1. avoid triggers

1.1.2. execrsise

1.1.2.1. YOGA

1.1.2.2. MUSCLE RALAXING ONES

1.1.3. dairy chart

1.1.4. STRESS REDUCTION

1.1.5. sleep well

1.1.6. surgery for corrigator muscle

1.1.7. diet

1.1.7.1. alcohlo

1.1.7.2. pickled food

1.1.7.3. aged cheese

1.1.8. chart for follow up

1.1.8.1. attacks frequency

1.2. pharmacological

1.2.1. acute

1.2.1.1. migrane NON-specific

1.2.1.1.1. NSAID

1.2.1.2. migrane specific

1.2.1.2.1. triptan

1.2.1.2.2. ergot

1.3. prophylaxis

1.3.1. long term

1.3.2. with recurrrence of attacks go back to abortive

1.3.3. depent on course and co-morbidity

1.3.4. anti-emetics

1.3.5. beta-blocker

1.4. status epielipticus

1.4.1. dexamethazone

2. cues

2.1. female, 40 y

2.2. teacher of music

2.3. tingling and weakness in left arm, 2 w ago

2.4. headache

2.5. disorientation in place

2.6. zig-zag visual pattern

2.7. stress

2.8. difficulty in reading

3. STEP1

3.1. difficult words

3.1.1. VIOLION musical intrument

3.1.2. ziz-zag

3.1.3. unwinding: relieve

4. STEP2

4.1. PROBLEM FORMULATION

4.1.1. 40 y female teacher complaining of headache, tingling and weakness of left arm and hand since two weeks. accompanied by zig zag visual pattern. stress and and disorientation in place are also noticed.

5. STEP3

5.1. HYPOTHESIS GENERATION

5.1.1. the problem affect motor cortex progresively. (tumor in frontal or praiatal lobe)

5.1.2. memory problem

5.1.3. vision, motor, sensory auras (cortical hypovolemia followed by hypervolemia -- coical spreading depresion) related to accociated areas.

5.1.4. feamale are at higher isk.

5.1.5. stress and hormnal changes are risk factors for headche (migrane)

5.1.6. wneki caslikof ( mamilary body degenation) lead to amnesia.

5.1.7. for migrane u need 2|4 aura + ( photophoia and phonobia, nausea and vomiting)

5.1.8. stroke in evulution

5.1.9. migrane with auras that fulfill the criteria

5.1.10. atriovenous malfomation

5.1.11. multible sclerosis

6. STEP4

6.1. HYPOTHESIS ORGANIZATION

6.1.1. vascular

6.1.1.1. stroke in evolution

6.1.2. neurological

6.1.2.1. migrane

6.1.3. tumor

7. STEP5

7.1. LEARNING OBJECTIVES

7.1.1. to know about migrane

7.1.1.1. difinition

7.1.1.2. pathophysiology

7.1.1.3. syptoms

7.1.1.4. work up

7.1.1.5. types

7.1.2. to know about brain tumors

7.1.2.1. main types in adults with definition

7.1.2.2. symptoms

8. step6

8.1. reporting

8.1.1. criteria

8.1.1.1. unilateral

8.1.1.2. moderate to severe

8.1.1.3. throbbing

8.1.1.4. wrosre with activity

8.1.2. types

8.1.2.1. with aura

8.1.2.2. without aura

8.1.2.3. chronic

8.1.3. criteria 2

8.1.3.1. aura

8.1.3.1.1. more than 5 min- 60 min

8.1.4. pathophysiology

8.1.4.1. CSD

8.1.4.1.1. activate trigeminovascular system

8.1.5. symptoms and signs

8.1.5.1. red flags

8.1.5.2. motor waekness

8.1.5.2.1. fully revresible

8.1.6. brain tumors

8.1.6.1. glial origin

8.1.6.1.1. astrocytoma

8.1.6.1.2. oligodendroglioma

8.1.6.1.3. meningioma

8.1.6.2. neoronal origin

8.1.6.2.1. SCWANOMA

9. step7

9.1. inquiry plan

9.1.1. history

9.1.1.1. present

9.1.1.1.1. 2 w three episode

9.1.1.2. past

9.1.1.2.1. hx since teenage

9.1.1.2.2. stress trigger

9.1.1.2.3. free for past several years

9.1.1.2.4. aura always

9.1.1.2.5. zigzag in euther feilds 30 min

9.1.1.2.6. wake cured of headache

9.1.1.2.7. ergot relive it

9.1.1.2.8. no correlation with mestruation

9.1.1.2.9. ta

9.1.1.3. medication

9.1.1.3.1. OCT

9.1.1.4. FAMILY

9.1.1.4.1. positive foir her mom

9.1.1.5. social

9.1.1.5.1. live with hasband and bro

9.1.1.5.2. 2 m of stress (manager)

9.1.1.5.3. missed classes

9.1.1.5.4. comprehention problems

9.1.2. examination

9.1.2.1. vitals

9.1.2.2. nurologic

9.1.2.2.1. visual veild aquity

9.1.2.2.2. rest is normal

9.1.3. investigation

9.1.3.1. BLOOD WORK

9.1.3.1.1. NORMAL

9.1.3.2. cxr

9.1.3.2.1. NORMAL

9.1.3.3. MRI

9.1.3.3.1. normal

10. step8

10.1. dignostic discioun

10.1.1. hemiplegic miagraine

10.2. learning objectives

10.2.1. managemnt of hemiplegic miagraine

11. step9

11.1. review

12. resorces

12.1. harrison

12.2. lectures

12.3. experience (faris)

12.4. kumar

12.5. davidson