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Erie College of Medicine - Weekly SGA Newsletter
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Week of October 21st, 2019
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SGA Monthly Business Meeting
Monday November 11th, 2019
Dinner: 5:30 pm
Meeting: 5:45 pm
LOCATION: Vora Student Lounge
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All students are invited. The following are REQUIRED to attend:
1. Class of 2022 Class Officers
2. Class of 2023 Class Officers
3. All Club Presidents
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If the Student Club President is unable to attend, someone from the club's executive board must attend. If you are required to attend the SGA Meeting and cannot attend, please contact Myriah Magaris (med.secretary@sga.lecom.edu). Please include the reason for your absence.
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Be a Part of the Polar Plunge!
Come join members from LECOM as they participate in the Polar Plunge on Saturday November 16th! Use the link below to sign up to plunge or donate to our team!
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Check out LECOM's team fundraising page for Special Olympi
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AHN Saint Vincent Hospital is looking for volunteers for the 35th annual Festival of Trees event (November 30- December 1st, 2019), an event that benefits the hospital and Children's Miracle Network.
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The Mental Health Task Force will be sponsoring a breakfast on 11/05/19 for all students! Stop by and get some free food and coffee!
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Wellness
Mind | Body | Spirit
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The semester is rolling along. Hopefully, last week’s stressors are resolved, or close to being so. You know what that means? More stressors head our way. We know that is reality and that we cannot control this. We can take care of ourselves and this helps us have confidence in being ready for whatever we may face. That is where …
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A 32-year-old woman presents to her primary care physician complaining of chronic headaches, which she describes as throbbing pain limited to the right side of her head. She denies any symptoms preceding the onset of her headaches. When these episodes occur at work, the pain prevents her from concentrating and she is unable to continue with her tasks. Because light and loud noises make her headaches unbearable, lying down in a dark room is the only thing that helps them. Her headaches last for most of the day, and she usually is debilitated and unable to function when they occur. She also reports episodes of nausea and vomiting with the headaches.
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What is the mechanism of action of the medication that can be used in the acute treatment of this patient’s condition?
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A. Calcium channel blocker
B. Decreases reuptake of serotonin and norepinephrine by the presynaptic neuron
C. Increases oxygen delivery to the body
D. Nonselective β-blocker
E. Serotonin agonist at 5-HT1B/1D receptors
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Answer:
E. Serotonin agonist at 5-HT1B/1D receptors
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The patient’s debilitating symptoms of unilateral pulsating pain, photophobia, and phonophobia are all consistent with migraine headaches. Patients with migraines often also speak of an aura preceding their headaches, as well as nausea and or vomiting during the episodes.
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Migraines are thought to occur due to a variety of causes. Decreased serotonin release from the brainstem is considered one of the initiating factors for migraines. In addition, release of substance P, calcitonin gene-related peptide (CGRP), and vasoactive peptides can lead to vasodilation, which is believed to contribute to migraine symptoms.
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Sumatriptan is a serotonin agonist at 5-HT1B/1D receptors and is a first-line agent for the acute treatment of migraine headaches. Action on these receptors causes vasoconstriction of cerebral and meningeal vessels, which provides symptomatic relief. Sumatriptan and other triptans also inhibit trigeminal nerve activation and prevent vasoactive peptide release. The latter helps to reduce inflammation and irritation, part of the pathophysiology of headaches. Triptans are the first-line treatment for aborting and reducing the severity of migraine headaches. These drugs can also be used to treat cluster headaches.
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Decreasing reuptake of serotonin and norepinephrine (amitriptyline), calcium channel blockers(verapamil), and nonselective β-blockers (propranolol) can be used for prophylactic treatment of migraine headaches, but they are not used in the acute setting to abort a migraine. Administration of 100% oxygen can be used to abort cluster headaches but not migraines.
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Dr. Melanie Dunbar, LECOM Director of Behavioral Health
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Crime Victim Center of Erie County
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Drug and Alcohol Services
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Stairways Behavioral Health Gage House
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Copyright © 2019 LECOM Student Government Association, All rights reserved.
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