{"id":382,"date":"2017-03-26T13:56:12","date_gmt":"2017-03-26T13:56:12","guid":{"rendered":"http:\/\/papergp.com\/index.php\/neurology\/migraine\/"},"modified":"2023-01-24T11:25:26","modified_gmt":"2023-01-24T11:25:26","slug":"migraine","status":"publish","type":"page","link":"https:\/\/papergp.com\/index.php\/neurology\/migraine\/","title":{"rendered":"Migraine"},"content":{"rendered":"<div class=\"content-box-blue\">\n<h4>Data gathering<\/h4>\n<ul>\n<li>Red flags &#8211; balance, coordination, limb weakness, COCP<\/li>\n<li>Others &#8211; triggers, n&amp;v, visual symptoms, photophobia<\/li>\n<li>Examine &#8211; BP, CN, PNS upper\/lower, fundoscopy<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\n<h4>Clinical management<\/h4>\n<ul>\n<li>Explanation\n<ul>\n<li>exact mechanism unknown, spasming and subsequent widening of blood vessels thought to contribute<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Treatment\n<ul>\n<li>Lifestyle &#8211; Avoid triggers<\/li>\n<li>Acute &#8211; triptans, NSAIDs, paracetamol, anti-emetic<\/li>\n<li>Prophylaxis &#8211; topiramate (if not child bearing), propranolol<\/li>\n<\/ul>\n<\/li>\n<li>Follow-up \/ Safety net &#8211; if worsening, weakness, balance affected, rw again<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\n<p><strong>Triptans<\/strong><\/p>\n<ul>\n<li>take as soon as pain starts<\/li>\n<li>can take again after 24 hours<\/li>\n<li>CI: MI, Stroke, PVD<\/li>\n<li>can get medication induced headache if taken too often<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Data gathering Red flags &#8211; balance, coordination, limb weakness, COCP Others &#8211; triggers, n&amp;v, visual symptoms, photophobia Examine &#8211; BP, CN, PNS upper\/lower, fundoscopy &nbsp; Clinical management Explanation exact mechanism unknown, spasming and subsequent widening of blood vessels thought to contribute Treatment Lifestyle &#8211; Avoid triggers Acute &#8211; triptans, NSAIDs, paracetamol, anti-emetic Prophylaxis &#8211; topiramate &hellip; <a href=\"https:\/\/papergp.com\/index.php\/neurology\/migraine\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Migraine<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":378,"menu_order":148,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-382","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/382","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/comments?post=382"}],"version-history":[{"count":7,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/382\/revisions"}],"predecessor-version":[{"id":1934,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/382\/revisions\/1934"}],"up":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/378"}],"wp:attachment":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/media?parent=382"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}