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Legal Lessons: (Migraine v Stroke)

Mike Weinstock, MD and Matthew DeLaney, MD
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Patients with migraine headaches may have symptoms which overlap with more serious diagnoses such as stroke. Exploring past symptoms, risk factors for stroke, and current symptoms, may help with the differentiation between these two diagnoses.

 

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Stephen A. -

I was impressed at how the commentators outlined their history taking, and not in a positive way. In all the queries they articulated only ONCE did they demonstrate asking an open ended question. Whether a question is designed to elicit a positive response or a negative response it is still a closed ended question and is still a history taking method to be discouraged. Why not ask, "how often do your headaches include these symptoms you are experiencing today?" or "what is different about today's migraine versus your typical migraine?"

Mike W., MD -

Good thoughts Stephen - thx for sharing!
M

Brian S. -

The "10 can't miss causes of ....." is hugely valuable to new learners, and more seasoned learners wanting to regularly evaluate their considered differentials. Thanks for including this. Please consider adding this to future discussions.

Mike W., MD -

Thx for this insight - we will do!
M

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Urgent Care RAP May 2020 Written Summary 907 KB - PDF

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