37: Podiatric Disorders and Depression- Mahoney Flashcards Preview

CS3: Exam 3 > 37: Podiatric Disorders and Depression- Mahoney > Flashcards

Flashcards in 37: Podiatric Disorders and Depression- Mahoney Deck (22):
1

_______ of pts in primary care have clinical depression

13-25%

2

people who have major depression are more than ___ to have chronic pain when compared to ppl who have no symptoms of depression

twice as likely

chronic back pain is 3-4 times more prevalent with depression than in the general population

3

current drug of choice for treating both pain and depression

TCAs

amitriptyline
nortriptyline
doxepin

4

pts with depression and chronic pain relate ________ than those without depression

more pain

pts with chronic pain have increased rates of suicidal ideation, suicide attempts, and successful suicide

5

if pain decreases mobility or participation in social activities, depression is ...

significantly increased

consider this point when recommending extended tx or surgery that require immobilization

6

compared to pts with no pain, pts with moderate to severe pain had increased _____ metabolism

glucose

bilaterally in prefrontal cortex

white matter properties are indicators for predisposition to chronic back pain, myelin and axons are distorted

7

a pain disorder related to chronic fatigue syndrome in which pts have physiological malfunction in the interpretation of pain

fibromylagia

prevalence 6.4%, underdiagnosed by physicians

sensation become unpleasant at stimulus intensities that are significantly lower than those observed in healthy controls

8

_____ volumes of pain-related brain areas are decrease din fibromylagia

gray matter volumes

9

most common systemic illness associated with heel pain

fibromyalgia

non-inflammatory disease of soft tissue so ther is no joint swelling detected

10

key locations for fibromyalgia pain

jaw
chest (upper sternum)

11

somatic symptoms of fibromyalgia

IBS
muscle weakness
HA
pain/cramps in abdomen
insomnia
depression
constipation
** burning pain, welling in extremities

12

complex regional pain syndrome CRPS I

minor injury

significant impairment of motor function

pain exceed both magnitude and duration the expected clinical course of inciting event

13

spontaneous pain or allodynia/hyperalgesia occurs that extends far beyond area of injury and pain out of proportion to inciting event

CRPS I

sympathetic n. dysfunction leading to edema, erythema, warmth or coldness to touch

14

develops after direct n. injury and has sympathetic n. dysfunction

CRPS II

causalgia

15

pain maintained by sympathetic efferent innervation or by circulating catecholamines that is also out of proportion and not associated with any specific nerve

classic sympathetic changes to skin not seen

SMP sympathtetically maintained pain

16

__________ more prone to developing CRPS

depressed or anxious ppl

17

late, osteopenic stage of CRPS

sudek's atrophy

18

refer fibromyalgia pts to a _______ and CRPS pts to a____________

rheumatologist

chronic pain center which includes psychiatric and psychological services

19

increases risk of diabetes and is related to higher levels of insulin resistance

depressive symptoms

ppl with DM and depression are more likely to develop diabetic complications than those w/o diabetes

type 2 diabetics have a 24% increased risk of depression

20

effects of buproprion administed to type 2 diabetics?

lost weight
improved mood
improved self management of diabetes
improved glucose control (A1C levels)

21

risk marker for delayed helaing and recurrence of foot ulcers in elderly tyep 2 diabetic pts

depression

22

are high blood sugars a cause of depression?

depression increased in diabetics only when they were made aware of illness