3rd Year MBBS
Integrated Module
Module: Neuroscience and Psychiatry
Sr No Subject Topic Sub Topic
Introduction to
1 Pathology De
Neuropathology
Introduction of
2 Pharmacology
CNS drugs
Patterns of injury
3 Surgery
in Nervous System
4 Medicine Headache
Antimigraine
5 Pharmacology
drugs
Introduction to
6 Psychiatry
Psychiatry
Behavioural mixed anxiety &
7
Science depression
Diagnosis of
8 Psychiatry
anxiety disorders
Management of
9 Psychiatry
anxiety disorders
Sedatives &
10 Pharmacology
Hypnotics-1
Sedatives &
11 Pharmacology
Hypnotics-2
Introduction to
12 Pathology cerebrovascular Stroke
disease
13 Medicine Ischemic Stroke Ischemic Stroke
Haemorrhagic Haemorrhagic
14 Medicine
Stroke Stroke
Community
15 Stroke
Medicine
SAH, Epidural and
16 Medicine Subdural
hematoma
Infections of CNS (
17 Pathology Meningitis
Meningitis)
Meningitis/
18 Medicine
Encephalitis
19 paediatrics Meningitis
Infections of CNS (
20 Pathology Viral encephalitis
Encephalitis)
21 Pathology CSF examination
22 paediatrics Encephalitis
Epidural and
23 Surgery subdural
infections
24 Pathology Rabies Rabies
Community
25 Rabies
Medicine
26 Pathology Polio polio
Community
27 Polio
Medicine
Acute flaccid
28 paediatrics
paralysis
Viral Encephalitis
Brain abscess
Fungal
Parenchymal Encephalitis
29 Surgery
infections of CNS Meningoencepha
litides
Prion diseases
30 paediatrics Febrile fits
31 Medicine Epilepsy
Antiepileptic
32 Pharmacology
drugs 1
Antiepileptic
33 Pharmacology
drugs 2
34 Paediatrics Epilepsy
Antiepileptic
35 Pharmacology
drugs 3
Demyelinating
36 Pathology
diseases
37 Medicine Multiple Sclerosis
38 Medicine Cerebellar ataxia
39 Medicine Gait disorders
Stimulants and
40 Pharmacology
Hallucinogen
Drug abuse
41 BS (Alcohol and
tobacco)
Diagnosis of
42 Psychiatry
Substance misuse
43 Pharmacology Alcohol
Management of
44 Psychiatry
Alcohol misuse
Community Drug and
45
Medicine Substance use
Neurodegenerativ
46 Pathology
e disorders
Neurodegenerativ
47 Pathology
e disorders
Antiparkinson
48 Pharmacology
drugs 1
49 Medicine Parkinsonism
Antiparkinson
50 Pharmacology
drugs 2
Diagnosis of
51 Psychiatry depressive
disorders
Antidepressant
52 Pharmacology
drugs 1
Management of
53 Psychiatry depressive
disorders
Antidepressant
54 Pharmacology
drugs 2
Alzehmir's
55 Pathology Alzehmir's disease
disease
56 Medicine Demantia
Prion disease,
57 Pathology Prion disease, CJD
CJD
Motor Neuron
58 Medicine
disease
Diagnosis of
59 Psychiatry
Schizophrenia
Management of
60 Psychiatry
Schizophrenia
Neuropathies and
61 Medicine
myopathies
62 Medicine GBS
63 Medicine Myasthenia Gravis
64 Pathology Tumors of brain
65 Surgery Tumors of brain
66 Pathology Tumors of brain
67 Pathology Tumors of brain
Brain tumors and
68 Medicine
brain abscess
69 paediatrics Brain tumors
Stress related
70 Psychiatry
disorders
71 BS Panic disorders
Tumors arising
72 Surgery from peripheral
nervous system
Diagnosis of
73 Psychiatry bipolar effective
disorder
Management of
74 Psychiatry bipolar effective
disorder
Antipsychotic
75 Pharmacology
drugs 1
Antipsychotic
76 Pharmacology
drugs 2
Beningn
intracranial
77 Medicine
hypertension,
Hydrocephalus
78 Paediatrics Hydrocephalus
Poorly
79 Surgery differentiating
neoplasm of CNS
80 Medicine Unconsciousness
Edema,
81 Surgery
Hydrocephalus
Somatoform and
82 Psychiatry conversion
disorders
Dissociative and
83 BS Possession
disorder
Personality
84 Psychiatry
disorders
85 paediatrics Cerebral palsy
Hemisection of
86 Medicine
spinal cord
87 Medicine Paraplegia
Pharmacology Biostatistics-1
88
Pharmacology Biostastistics-2
89
Prescription
Pharmacology
writing
90
3rd Year MBBS
Integrated Module
Module: Neuroscience and Psychiatry
Learning Objectives Teaching
At the end of the lecture, student should be able to Strategies No of Hours
At the end of this lecture,3rd year MBBS students will be able to:
[Link] cellular pathology of CNS
2. Discuss cerebral edema, raised intracranial pressure
Lecture 1
3. Define Hydrocephalus 4.
Discuss malformation and developmental disorders
[Link] head trauma and sequale of head
trauma
[Link] the major excitatory and inhibitory CNS
neurotransmitters in the CNS 2.
Lecture 1
Identify the sites of drug action at synapses and the mechanisms
by which drugs modulate synaptic transmission
Lecture 1
[Link] the basic aspects of the headache
2. Describe the clinical feature
[Link] and interpret relevant investigations
4. Diagnose the disease and enumerate the list of differential
Lecture 1
diagnoses
5. Write a comprehensive management plan
6. Enumerate the complications
7. Suggest the life style modifications & steps of rehabilitation
1. Classify Antimigraine drugs 2.
Discuss the basis for use of serotonin agonist and ergot alkaloids
3. List
Lecture, SGD 1,1
pharmacological actions of major drugs on organ system
[Link]
toxicity of relevant drugs
[Link] the major group of psychiatric disorders
[Link] the sub-specialties of
Psychiatry 3. Differentiate between
neurotic and psychotic disorders Lecture 1
4. Understand the prevalence of psychiatric disorders in the
population
5. Understand the importance of a therapeutic relationship
1. Identify common psychiatric disorders in general health
settings. Lecture 1
2. Differentiate between Anxiety & depression.
[Link] the basic classification of anxiety disorder
2. Describe the clinical features of
anxiety disorders
[Link] and interpret relevant investigations Lecture 1
4. Diagnose anxiety disorders and enumerate the list of
differential diagnose
5. Understand the aetiology of Anxiety disorders
Write a comprehensive management plan
Suggest the life style modifications & steps of rehabilitation
Describe different classes of
anxiolytic drugs Recognize and manage important Lecture 1
side effects of anxiolytic drugs
Understand the importance of
psychological and social management
[Link] sedative and hypnotics
2. Classify sedatives hypnotics drugs on the basis of onset of
action
3. Discuss mechanism of action of barbiturates &
Lecture 1
benzodiazepines
[Link] the pharmacological uses of sedatives hypnotics
5. Enlist the therapeutic uses of
barbiturates & benzodiazepines
[Link] major adverse effects seen with administration of
sedatives Hypnotics
[Link] the drug treatment of benzodiazepine and barbiturates
poisoning 3. Tabulate
the differences between benzodiazepines & barbiturates Lecture, SGD 1,1
[Link] the newer Z
drugs [Link] their
mechanism of action in detail [Link] the
therapeutic uses of new drugs.
1. Describe cerebrovascular disease
2. List types of stroke
Lecture 1
3. Discuss pathogenesis of stroke
4. Describe morphological features of stroke
[Link] the basic aspects of stroke
2. Describe the clinical features of ischemic stroke
3. Devise and interpret relevant investigations
4. Diagnose the disease and enumerate the list of differential
diagnoses Lecture 1
5. Write a comprehensive management plan
6. Enumerate the complications
7. Suggest the life style modifications & steps of rehabilitation
[Link] the basic aspects of stroke
2. Describe the clinical features of hemorrhagic stroke
3. Devise and interpret relevant investigations
4. Diagnose the disease and enumerate the list of differential
diagnoses Lecture 1
5. Write a comprehensive management plan
6. Enumerate the complications
7. Suggest the life style modifications & steps of rehabilitation
Lecture 1
[Link] the basic aspects of SAH, Epidural and Subdural
hematoma
2. Describe the clinical features of SAH, Epidural and Subdural
hematoma
3. Devise and interpret relevant investigations
Lecture 1
4. Diagnose the disease and enumerate the list of differential
diagnoses
5. Write a comprehensive management plan
6. Enumerate the complications
7. Suggest the life style modifications & steps of rehabilitation
[Link] types and etiologies of Meningitis
2. Describe morphological details of meningitis
3. Describe pathogenesis of various tyoes of Meningitis Lecture, SGD 1,1
4. Discuss lab diagnosis
of different types of meningitis
[Link] the basic aspects of the meningitis and encephalitis
2. Describe the clinical features
3. Devise and interpret relevant investigations
4. Diagnose the disease and enumerate the list of differential
Lecture 1
diagnoses
5. Write a comprehensive management plan
6. Enumerate the complications
7. Suggest the life style modifications & steps of rehabilitation
1. Discuss Causes of Meningitis in children
2. Describe types of meningitis
3. Describe clinical features of specific condition
Lecture 1
4. Devise diagnostic
pathway of the disease 5. Write down
management plan for common causes
[Link] types and etiologies of viral encephalitis
2. Describe morphological details of viral encephalitis
3. describe pathogenesis of viral encephalistis Lecture, SGD 1,1
4. Discuss lab diagnosis of viral encephalitis
Explain the step wise procedure of processing of CSF samples
Practical 2
attentively
1. Discuss Causes of encaphilitis
2. Describe types of encaphilitis
3. Describe clinical features of specific condition
Lecture 1
4. Devise diagnostic pathway of the
disease 5. Write down management plan
for common causes
Aseptic meningitis (diagnosis, investigations, treatment)
acute bacterial meningitis (diagnosis, investigations, treatment) Lecture 1
Chronic meningitis (diagnosis, investigations, treatment)
1. Classify rabies virus according to type of virus
2. Discuss its replicative cycle
3. Describe the pathogenesis of rabies Lecture, SGD 1,1
virus 4. Discuss its
laboratory diagnosis
Lecture 1
[Link] polio virus according to type of virus
2. Discuss its replicative cycle
Lecture, SGD 1,1
3. Describe the pathogenesis of polio virus
4. Discuss its laboratory diagnosis
Lecture 1
1. Discuss Causes of acute flaccid paralysis
2. Describe types of acute flaccid paralysis
3. Describe clinical features of
Lecture 1
specific condition 4.
Devise diagnostic pathway of the disease
5. Write down management plan for common causes
Lecture 1
1. Discuss Causes of Febrile fits
2. Describe types of febrile fits
3. Describe clinical features of specific condition
Lecture 1
4. Devise diagnostic pathway of the
disease 5. Write down management plan
for common causes
1. Describe the basic aspects of Epilepsy
2. Describe the clinical features of the Epilepsy
3. Devise and interpret relevant investigations of Epilepsy
4. Diagnose the disease and enumerate the list of differential
diagnoses of Epilepsy Lecture 1
5. Write a comprehensive management plan of Epilepsy
6. Enumerate the complications of Epilepsy
7. Suggest the life style modifications & steps of rehabilitation of
Epilepsy
1. Classify antiepileptic drugs on the basis of seizure subtypes
[Link] the
pharmacological basis for use of antiseizure drugs
Lecture 1
[Link] the
mechanisms of antiseizure drug action at the levels of specific ion
channels or neurotransmitter systems.
Describe the main pharmacokinetic features of major drugs used
for GTC seizures
[Link] the distinctive toxicities of major drugs Lecture 1
[Link] the contraindications of
relevant drugs
1. Discuss Causes of Epilepsy
2. Describe types of Epilepsy
3. Describe clinical features of specific condition
Lecture 1
4. Devise diagnostic pathway of
the disease 5. Write down management
plan for common causes
State treatment for status epilepticus
List safe antiepileptics drugs used in pregnancy Explain Lecture, SGD 1,1
drug interactions of antiseizure drugs
[Link] types and etiologies of demyelinating diseases
2. Describe morphological details of demyelinating diseases
Lecture 1
3. Describe pathogenesis of demyelinating diseases
[Link] the basic aspects of the Multiple sclerosis
2. Describe the clinical features of the Multiple sclerosis
3. Devise and interpret relevant investigations of Multiple
sclerosis
Lecture 1
4. Diagnose the disease
5. Write a comprehensive management plan of Multiple sclerosis
6. Enumerate the complications of Multiple sclerosis
7. Suggest the life style modifications & steps of rehabilitation
[Link] the basic aspects of cerebellar fuction
2. Enlist the causes of cerebellar ataxia
3. Describe the pathophysiology of Friederichs ataxia
4. Describe the clinical features of FA 5.
Lecture 1
Devise and interpret the relevant investigations
5. Enumerate the complications
6. Suggest the life style modifications & steps of rehabilitation
1. Describe the dyskinesia and abnormal movements
2. Enlist the different types of dyskinesia
3. Enlist the different types of gait disorders
4. Describe the clinical features Lecture 1
5. Devise the comprehensive
management plan
6. Enlist the steps of rehabilitation
List different classes of CNS stimulants:
Describe the main pharmacological effects they produce
Explain the mechanism of action of
CNS stimulants drugs. Lecture 1
Describe the common side effects of major drugs
Explain the management of poisoning
by these drugs
1. Differentiate between drug abuse & use
2. Demonstrate assessment and management modalities of Drug Lecture 1
abuse, alcohol & tobacco
Describe the etiology of of the substance misuse
Describe the diagnostic features of substance
misuse according to ICD-10
Understand the difference between the two major diagnostic
Lecture 1
criterion Describe the
psychological and physical complications of the alcohol misuse
Devise and interpret
relevant investigations
Sketch the biochemical pathways for ethanol metabolism and
indicate where fomepizole and disulfiram act.
Summarize characteristic pharmacodynamic and
pharmacokinetic properties of ethanol. Identify
the toxic effects of chronic ethanol ingestion
Lecture 1
Describe the fetal alcohol syndrome.
Describe the treatment of ethanol methanol and
ethylene glycol overdosage.
Outline the pharmacotherapy of the alcohol withdrawal
syndrome andalcohol-use disorders.
Suggest the life style modifications & steps of rehabilitation
Describe the pharmacological
management of alcohol misuse
Describe the social management of alcohol
Lecture 1
misuse Suggest the life
style modifications & steps of rehabilitation
Describe the psychological management of alcohol
misuse
Lecture 1
[Link] types and etiologies of neurodegenerative diseases
2. Describe morphological details of neurodegenerative diseases
Lecture 1
3.
Describe pathogenesis of degenerativediseases
1. identify the histological morphology of neurodegenerative
Practical 2
diseases
Classify antiparkinsonian drugs
Identify the mechanisms by which dopaminergic drugs alleviate
Lecture 1
parkinsonism. Describe
the organ system effects of Levodopa
[Link] the basic aspects of parkinsons disease
2. Describe the clinical features
3. Devise and interpret relevant investigations
4. Diagnose the disease and enumerate the list of differential
diagnoses
Lecture 1
5. Write a comprehensive management plan of Parkinsonism
6. Enumerate the complications
7. Suggest the life style modifications & steps of rehabilitation of
Epilepsy
Identify relevant adverse effects of major group of drugs
Justify the rationale for use of carbidopa
with levodopa Explain the
Lecture,SGD 1,1
role of anticholinergic drugs in parkinsonism
List drugs used for tremors, Wilson's disease and
dyskinesias
Describe the 2 important diagnostic classifications for depressive
disorder Describe the
clinical features of the disease according to ICD-10
Understand the
Lecture 1
importance of applying strict diagnostic criterion
Devise and interpret
relevant investigations Enumerate the list of
differential diagnoses
Explain the theoretical basis for use of drugs in depression
Classify antidepressants into different Lecture 1
groups Explain the mode of action of SSRIs and SNRIs
Describe the basic principles of the management of depressive
disorder Describe the
various classes of antidepressants Enumerate the important
side-effects of each class of antidepressant
Lecture 1
Understand the role of combination of
antidepressants for the management of severe depression
Decide when and how to initiate
electro-convulsive therapy
Enlist toxic effects produced by these drugs
Describe mechanism of action of TCAs, MAO inhibitors and
miscellaneous drugs
State clinical uses of relevant drugs Lecture, SGD 1,1
Identify contraindications of main antidepressants
Discuss the drug/food interactions of major
drugs
[Link] types and etiologies of neurodegenerative diseases
2. Describe morphological details of neurodegenerative diseases
Lecture 1
3.
Describe pathogenesis of degenerativediseases
1. Describe the basic aspects of demantia and Alzheimers disease
2. Enlist the causes of demantia
3. Describe the clinical features of demantia
Lecture 1
4. Devise the relevant investigations
5. Outline the management plan
6. Suggest the lifestyle modifications and
steps of rehabilitation
[Link] types and etiologies of neurodegenerative diseases
2. Describe morphological details of neurodegenerative diseases
Lecture 1
3.
Describe pathogenesis of degenerativediseases
1. Describe the basic aspects of motor neuron disease
2. Discuss the different
types of motor neuron disease
3. Describe the clinical features of MND
4. Devise the relevant investigations
Lecture 1
5. Outline the comprehensive management
plan for MND 6. Enlist the
complications of MND 7.
Suggest the lifestyle modifications and steps of rehabilitation
Describe the etiology of Schizophrenia
Understand the prevalence of Schizophrenia
Describe the clinical features of Schizophrenia according to ICD-
Lecture 1
10
Describe the types of Schizophrenia
Describe the basic aspects of Schizoaffective disorder
Describe the various classes of antipsychotic drugs
Recognize the clinically important side
effects of antipsychotic drugs
Describe the major life threatening side effects of
Lecture 1
antipsychotic drugs Diagnose
and manage neuroleptic malignant syndrome
Understand the role of electroconvulsive therapy
in the management of schizophrenia
[Link] the basic aspects of the diseases of peripheral nerves
& muscle
2. Describe the clinical features of the diseases of peripheral
nerves & myopathy
3. Devise and interpret relevant investigations 4. Diagnose the
disease and enumerate the list of differential diagnoses
Lecture 1
5. Outline comprehensive management plan of diseases of
peripheral nerves & myopathy
6. Enumerate the complications of diseases of peripheral nerves
& myoopathy
[Link] the life style modifications & steps of rehabilitation
[Link] the basic aspects of GBS
2. Describe the clinical features of GBS
3. Devise and interpret relevant investigations 4.
Diagnose the disease and enumerate the list of differential
diagnoses Lecture 1
5. Outline comprehensive management plan
6. Enumerate the complications of GBS
7. Assess the prognosis of the disease
[Link] the life style modifications & steps of rehabilitation
[Link] the basic aspects of the Myasthenia gravis & other
myasthenic syndromes
2. Describe the clinical features of the Myasthenia gravis & other
myasthenic syndromes
3. Devise and interpret relevant investigations of Myasthenia
gravis & other myasthenic syndromes Lecture 1
4. Diagnose the disease and enumerate the list of differential
diagnoses
5. Write a comprehensive management plan of Myasthenia
gravis & other myasthenic syndrome
6. Suggest the life style modifications & steps of rehabilitation
[Link] types and etiologies of Tumors of brain
2. Describe morphological details of Tumors of brain
Lecture 1
3. Describe pathogenesis of
Tumors of brain
Define and classify Glioma.
Compare Astrocytoma, Oligo-Dendroglioma and Ependymoma
based on their etiology,
pathogenesis of CNS Tumors Lecture 1
Investigations of CNS tumors
Treatment Options for CNS Tumors
[Link] types and etiologies of Tumors of brain
2. Describe morphological details of Tumors of brain
Lecture 1
3. Describe pathogenesis of
Tumors of brain
1. Enlist types of tumors .
Practical 2
2. Describe the histological details of meningioma,
pilocytic astrocytoma, Gliomas and Medulloblastoma
1. Describe the basic aspects of the Brain abscess/ Brain tumor
2. Describe the clinical features of space occupying lesions of
brain
3. Devise and interpret relevant investigations
4. Diagnose the disease and enumerate the list of differential
Lecture 1
diagnoses
5. Write a comprehensive management plan
6. Enumerate the complications
7. Suggest the life style modifications & steps of rehabilitation
1. Discuss Causes of brain tumors
2. Describe types of brain tumors
3. Describe clinical features of specific condition
Lecture 1
4. Devise diagnostic
pathway of the disease 5. Write down
management plan for common causes
Describe the clinical features of Stress related disorders
Devise and interpret relevant
investigations Diagnose Stress related disorders
and enumerate the list of differential diagnoses Lecture 1
Write a comprehensive management
plan Suggest the life style modifications &
steps of rehabilitation
1. Define panic disorder according to criteria.
2. Differentiate between panic disorder and heart attack
Lecture 1
3. Practice assessment and management modalities of panic
disorder
Causes pathogenesis, investigations and treatment of
Schwannoma, Neuro-fibroma, and Malignant Peripheral Nerve
Lecture 1
Sheath Tumor.
Describe the basic aspects of bipolar affective disorder
Describe the clinical features of bipolar
affective disorder Devise and
interpret relevant investigations Diagnose bipolar Lecture 1
affective disorder and enumerate the list of differential diagnoses
Understand the prevalence
of BPAD worldwide
Write a comprehensive management plan Understand the role of
mood stabilizers in the management
Recognize and manage important side effects of medications
used Suggest the life Lecture 1
style modifications & steps of rehabilitation
Understand the importance of social and psychological
management
Classify antipsychotic drugs.
Differentiate between typical and atypical antipsychotic drugs
Explain the pharmacological effects of drugs based on receptor Lecture 1
selectivity Describe
the common adverse effects and specific neurological conditions
caused by antipsychotic drugs
State clinical uses of antipsycotics
List the contraindications associated with antipsychotic drugs.
Lecture, SGD 1,1
Enumerate drugs used for bipolar mental disorder
Describe pharmacokinetics &
pharmacodynamics of lithium
1. Describe the basic aspects of the BIH and NPH
2. Describe the clinical features of BIH and NPH
3. Devise and interpret relevant investigations
4. Diagnose the disease and enumerate the list of differential
Lecture 1
diagnoses
5. Write a comprehensive management plan
6. Enumerate the complications
7. Suggest the life style modifications & steps of rehabilitation
1. Discuss Causes of hydrocephalus
2. Describe clinical features
of specific condition 3. Lecture 1
Devise diagnostic pathway of the disease
4. Write down management plan for common causes
Medulloblastoma, Meningioma & other metastatic tumors with
their pathogenesis, causes, investigations and treatment option. Lecture 1
[Link] the basic aspects of conscious level and
unconsciouness
2. Explain the Glascow coma scale
3. Describe the clinical features of the unconscious patient
4. Enlist the causes of unconsciousness 5.
Lecture 1
Devise and interpret the relevant investigations to determine the
cause of unconsiousness
5. Enumerate the complications
6. Suggest the life style modifications & steps of rehabilitation
Causes, diagnosis, investigations and treatment options. Lecture 1
Describe the clinical features of Somatoform and Conversion
disorders Devise and
interpret relevant investigations Diagnose
Somatoform and Conversion disorders and enumerate the list of Lecture 1
differential diagnoses Write a
comprehensive management plan Suggest the
life style modifications & steps of rehabilitation
1. Define Dissociative & possession state
2. Demonstrate assessment and management modalities of Lecture 1
dissociative disorder
Describe the basic aspects Personality disorders
Describe the clinical features of various Personality disorders
Devise and Lecture 1
interpret relevant investigations Diagnose the
disease and enumerate the list of differential diagnoses
1. Discuss Causes of Cerebral Palsy
2. Describe types of cerebral palsy
3. Describe clinical features of specific condition
Lecture 1
4. Devise diagnostic pathway of
the disease 5. Write down management
plan for common causes
[Link] the clinical features of Hemisection of spinal cord
2. Devise and interpret relevant investigations
3. Diagnose the disease
4. Write a comprehensive management plan
5. Enumerate the complications Lecture 1
6. Suggest the life style modifications & steps of rehabilitation
7. Compare and
contrast the signs and symptoms of upper and lower motor
neuron disease
[Link] the basic aspects of spastic and flaccid paraplegia
2. Describe the clinical features of
spastic and flaccid paraplegia
3. Analyse and localize the site of lesion based on clinical features
Lecture 1
4. Devise and interpret the relevant investigations for paraplegia
5. Enumerate the complications
6. Suggest the life style modifications & steps of rehabilitation
[Link] basic terminologies of biostatistics 2.
Practical
Calculate measures of central tendencies 2
1. Calculate measures of spread
[Link] t-test on given data Practical
[Link] and Interpret given data 2
[Link] down the prescription for generalised tonic clinic and
absence seizures.
[Link] down prescription for parkinsonism on the basis of
Practical
severity.
[Link] down the prescription for prophylaxis and acute attack
of migraine
2
Assessment
Strategies
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