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clin med > pain > Flashcards

pain Flashcards

1
Q

The IASP definition of pian is?

A

“an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage”

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2
Q

Pain effects how many people?

A

Affects 116 million in US

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3
Q

How many primary care visits have been driven by chronic pain?

A

20% of all primary care visits are due to chronic pain

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4
Q

How many people have had pain for >3 months?

A

26% of Americans
1/3 report the pain to be disabling

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5
Q

What is the amount spent on pain each year?

A

$635 billion a year

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6
Q

How can we classify pain in subjective sections of notes?

A

Based on pain physiology, intensity, temporal characteristics, type of tissue affected, and syndrome

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7
Q

How would you describe pain pathology?

A

nociceptive, neuropathic, inflammatory

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8
Q

How does inflammation change pain pathology?

A
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9
Q

How would you describe the intensity?

A

mild-moderate-severe; 0-10 numeric pain rating scale

use the pain scale

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10
Q

How would you describe time course of pain?

A

acute or chronic

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11
Q

What types of tissues can be involved in pain?

A

skin
muscles
viscera
joints
tendons
bones

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12
Q

What syndromes are commonly associated with pain?

A

cancer, fibromyalgia, migraine, others

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13
Q

What considerations may affect a patients pain level?

A

psychological state, age, gender, culture

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14
Q

What is the framework written by the WHO for describing pain?

A

ICD codes!
persistent or recurring pain lasting longer than 3 months

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15
Q

What are the 7 subcategories of pain mentioned by ICD?

A

primary pain
cancer pain
post-surgical/post-traumatic pain
neuropathic pain
headache/orofacial pain
visceral pain
musculoskeletal pain

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16
Q

What is meant by nociceptive pain?

A

response to an immediate noxious stimulus; tissue damage with resultant inflammatory pain

17
Q

What is meant by neurogenetic pain?

A

result of lesions in some part of the nervous system

18
Q

What is the difference between central neurogenic pain and peripheral neurogenic pain?

A

Central neurogenic pain: injury affecting CNS, burning, aching, prickling, hyperalgesia, allodynia

Peripheral neurogenic pain: injury affecting PNS, paresthesia, dysesthesia, pain

19
Q

What is meant by musculoskeletal pain?

A

injury effecting MSK

20
Q

What does pain look like with fibromyalgia?

A

widespread pain accompanied by tenderness of muscles and adjacent soft tissue

21
Q

What does pain look like with myofascial pain syndrome?

A

persistent, deep aching pain in muscle; characterized by well defined highly sensitive tender spots ‘trigger points’

22
Q

What does pain look like with postural stress syndrome?

A

postural malalignment produces chronic muscle lengthening and/or shortening & stress on tissues

23
Q

What does pain look like with movement adaptation syndrome?

A

habituated movement dysfunction leading to muscle strain and pain

24
Q

What is meant by psychosomatic pain?

A

origin is related to mental or emotional factors

25
Q

What is meant by referred pain?

A

pain arising from deep visceral tissues that is felt in a body region remote from the site of origin

26
Q

How do free nerve endings effect pain?

A

most abundant type of nerve endings

27
Q

How does Merkel’s Disc effect pain?

A

tactile end organ, abundant in fingertips, and whiskers

28
Q

How does Krause’s end bulb effect pain?

A

specialized sensory nerve ending in skin, temperature sensation

29
Q

How does Meissner’s corpuscle effect pain?

A

a cutaneous nerve ending responsible for transmitting the sensations of fine, discriminative touch and vibration

30
Q

How does Pacinian corpuscle effect pain?

A

encapsulated ending of a sensory nerve that acts as a receptor for pressure and vibration

31
Q

How does Ruffini corpuscle effect pain?

A

found in the superficial dermis of both hairy and glaborous skin, sense low-frequency vibration or pressure

32
Q

What is the difference between fast and slow pain?

A

Fast, localized pain: transmitted over thinly myelinated A delta fibers; processed in dorsal horn

Slow pain: transmitted over small diameter, unmyelinated C fibers; processed in dorsal horn

33
Q
A

clin med (19 decks)

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