beyondhom Free online course on wikispaces

Hi all,

As you may know we had a free online course on Case Analysis in Wikispaces. 
Due to Summer Holidays we were in break and now we are going to take it up 
again. If you are interesed in you can join us through this link:

http://shahrdarcases.wikispaces.com/

Our new case is:

The patient is a 42 year old woman with frequent attacks of migraine. She 
has been suffering from migraine attacks since about 20 years ago. She has 
about 2 attacks in a week each lasting for 2-3 days. This means that she is 
rarely pain-free. Migraine is a hereditary feature in her family. The 
attacks began after a period of intense emotional tension. A deep emotional 
tie was broken up and she was wrapped in deep sadness. Gradually she 
experienced headaches increasing in strength. She changed to an introverted 
type of person, reserved and deeply focused on past painful memories. 
Migraine attacks are typical ones with aura. Vision is severely blurred 
before the headaches sometimes the severity of blurred vision is to such 
extent that it is like blindness.

The headache is one-sided; sometimes right and sometimes left. One out of 
3-4 headaches is accompanied by severe nausea and vomiting. The quality of 
pain is sharp, lancinating and pressing. Headaches are aggravated by motion 
and light. The only medication which has been able to mildly palliate the 
pains has been Sumatriptan (Imitrex) but she has been advised not to take it 
as she is also diagnosed to have a moderate Mitral Valve Prolapse (MVP) and 
also family history of cardiac disease. In case of anxiety or sustained 
physical exertion, she experiences palpitation, breathlessness and short 
sharp pains in chest. Propranolol (Inderal) is prescribed for her to control 
these MVP related symptoms. Natrum muriaticum has failed to show any 
curative effects.

Dr. ArdavanShahrdar آ© 2011

For those who participate in discussions, Software of Repertorium Virosum 
will
be gifted for free.

Kind Regards,
Dr Nader Moradi 



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