53 Pain Amplification Syndromes Flashcards
T/F It is difficult for an observer to know with any certainty to what extent another person is in pain
T
T/F Prolonged malingering in children is exceedingly rare
T
Prolonged malingering in children is best addressed through
Psychotherapy
T/F In many situations of pain amplification in children, no testing is required
T
T/F In the absence of clinical evidence of inflammatory disease, the benefit of obtaining tests for ANA and RF is outweighed by the risk of obtaining false + results
T
T/F Attempts to identify an increasingly rare and unlikely cause for pain, or escalating empiric treatment aimed at organic pain can result in perpetuating the amplified pain
T
The new ICD 11 classification defines chronic pain as
Persistent or recurrent pain for at least 3 months
Category of chronic pain originating from the idea that conditions associated with chronic pain should be acknowledged even if a clear understanding of an underlying etiology or pathophy is missing
Chronic primary pain
Category of chronic pain described as persistent pain in conjunction with a rheumatologic disease (e.g. JIA)
Chronic secondary pain
T/F Evaluation and treatment are similar between chronic primary & secondary pain
T
Criteria for different subsets of amplified MSK pain
Table 53.1 (p.704)
Amplified MSK pain is more common in what gender
Female
CRPS in children: Upper vs lower extremity involvement
Lower extremity
CRPS in children: Increased vs decreased uptake in technetium bone scintigraphy
Decreased
Adult vs childhood CRPS: More readily responsive to PT and OT
Childhood
