pain Flashcards

(47 cards)

1
Q

what are the 3 types of pain

A

nociceptive
neuropathics
nociplastic

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2
Q

what si nociceptive

A

pain region localised at site of injuy
can be chonric
fixed by analgesic

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3
Q

what is neuropathic pain

A

pain that is not necesary at same side of injyr
e..g nerve root pain, or sutulai pain
does not respond well to anagleis

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4
Q

what is nociplatic pain

A

pain where there is no inflamtion or change
due to change in central prlacity , where there is no prtovecig function

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5
Q

what is an allodynia

A

some one who as a substancy decreaed pain threshold, ie is in pain when there is no stimulus

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6
Q

what is hyperalgesia

A

exaturated respons to noraml stimuli

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7
Q

what is main differnce between allodynia and hyperalgesi

A

hyper alges stimuls does cause pain normlly and allodynia does not

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8
Q

difference bteen innocuous and noxious pain

A

noxiou nomral injury response and pain grade, innocous, pain shifted to the left thus an injury

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9
Q

what is centrla sensiation

A

response of second order neruons to noxious an non noxious stimuli

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10
Q

what are the 3 components of central sensitiazation

A

windup
classical
long term potentiation

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11
Q

wind up

A

actiated synapes

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12
Q

what molveu mediates winu up

A

subsatnce p and cgrp

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13
Q

differnce betwen nociecption and pain

A

nociepcion is singla of pain, and pain is response to nociep, ie. hhow it is received

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14
Q

type sof neuroceptois

A

alpha delta mechnosentive
alphadeleta mechanothermal
polynodal nurorecptors

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15
Q

what is the process of central sensation classical pathway

A

involves the opening of new synapes
it has assocated plasccitiy
outlasts the intial stimulil

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16
Q

what levels of stimuli is central sesnation classical operate at

A

low levels

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17
Q

when does long term potentiation occur

A

for very painful and intense stimuli

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18
Q

when do trpv1 ion chanle reson

A

damage from heat as well de to capsuacin, from chiilii peppers

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19
Q

what are teh chemcial that can lower the threshod notcieps operate at

A

histamine, prostaglandin, serotonin, and substance p and bradykinks

20
Q

what is long term potentai assocated with

21
Q

where does adelta synapes in teh doral horn of teh spinal cord

A

laminae 1 and 5

22
Q

wehre does c synapse in the dorsal horn of the spinal cord

23
Q

where is a delta mainly foudn

A

body surface, msuesl and joinst

24
Q

wher is c mainly found

25
what are the types of neruons present in the spidnal cord
low threshold wide dynamic range nociceptive
26
what do nocieptic neruon do
respon to high threshold pain
27
where are nociecptive neruon found
lamineae 2 and 3
28
what are wide dynamci range dunutes
they resond to a range of sensry stimuli
29
where are wide dynamic range neruons found
laminae 5 and 6
30
role of low thresh nuclie
respond to innocuosu stimul
31
which laminae does spinothalic tract contae
1 and 5 (a delta fibers termiate pont
32
what is the roel of lateral tract in pain
shows where the sensory level of pain is
33
what is the role of the medial tract for pain
aurtomic adn affective part of pain
34
what is the periaqueducat grey mater
it contain noradrenalie neruons , which surroudn the cerbal aqueduct of the midbrain
35
role of periaqueducal aqudict
it can activae analgesia, espcially due to morphine , electrical stimulation
36
what does the periqudace duct grey matter project do
lamina 2 and nucle raphe magnus
37
what is the nucleous raphe magnus
it reasles serotin which acts as a interior internuona to prevent pain
38
does serotoin increase or decrease pain
both depending on which pathway that it is activated at
39
where does nucleous raphe maguns project to
lamina 2 and 5
40
what does vicle pain respond to
distention , inflamation and ischemia
41
capsacin work on what recptor
trpv1
42
role of nerve growth factor
sensitises nociceptor
43
role of cannaboids in pain
act on cb1 recpronsa and invoed in pain prevention
44
what does cholcytokinin act on
drg and dorsal horn and tract in vicearl pain
45
role of enkephalin and beta endorpahin
assocaed with pain, and prevnet hte opid recpro working
46
nitic oxide and pain
it is assocad with pain in the perhal and central reioa dn also invoeld in part of brain neuoplascity
47