RT Book, Section
A1 Qaiser, Sharoon
A1 Green, Antoinette
A1 Kabbouche, Marielle
A2 Hershey, Andrew D.
SR Print(0)
ID 1195236577
T1 Pediatric Migraine Presentation and Treatment Algorithm
T2 CURRENT Diagnosis & Treatment Pediatric Neurology
YR 2023
FD 2023
PB McGraw Hill Education
PP New York, NY
SN 9781260457520
LK accesspediatrics.mhmedical.com/content.aspx?aid=1195236577
RD 2024/04/20
AB Children  are  not  young  adults;  thus,  we  have  to  take  a  different  approach  with  caring  for  this  population.  Children  may  have  similar  pathophysiology  as  adults,  but  they  respond  differently  to  psychosocial  variants  and  may  have  some  clinical  variants  that  are  not  present  in  adults.  For  example,  pain  itself  is  a  subjective  feeling  that  is  objectively  measured  with  specific  pain  scales,  but  this  can  be  challenging  to  assess  in  younger  children  who  have  difficulties  expressing  symptoms  they  are  experiencing.  Standard  pain-related  questions  may  not  capture  the  full  picture,  as  children  may  have  a  difference  in  perception  of  pain.  It  is  important  to  note  that  most  of  the  information  collected  may  be  primarily  provided  by  parents  or  guardians.  When  taking  the  history,  it  is  advantageous  to  direct  specific  questions  to  the  child  at  a  level  they  understand.  The  primary  goal  is  to  gather  relatively  a  good  history  and  description  of  the  symptoms  using  clues  or  even  drawings  (this  has  shown  to  be  a  very  sensitive  tool  in  younger  children).  It  is  the  only  way  to  discover  what  the  child  is  feeling  without  having  the  clinical  symptoms  translated  through  an  interpreter  (ie,  parents  or  guardians).  Clues  could  include  when  a  little  boy  goes  into  a  dark  room  and  stops  playing  (photophobia)  or  when  a  5-year-old  girl  draws  herself  with  a  hammer  hitting  her  head  (throbbing).