Exam 2- Neuro and Pain Flashcards

1
Q

what is the etiology of pain?

A

potential or actual tissue damage

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2
Q

what are the diffrent kinds of pain someone can experience?

NO, Ne, P, R

A
  • nociceptive
  • Neuropathic
  • phantom
  • referred
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3
Q

what is nociceptive pain?

A

pain caused by damage to body tissue. Nociceptive pain feels sharp, aching, or throbbing. It’s often caused by an external injury

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4
Q

what are the three diffrent types of nociceptive pain?

RSV

A
  • Radicular
  • somatic
  • vicseral
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5
Q

what is radicular pain?

A

occurs when the nerve roots are irritated

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6
Q

what is somatic pain?

A

any of the pain receptors in your tissues, such as muscles, bone, or skin, are activated.

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7
Q

what is somatic pain usually stimulated by?

A

movement.

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8
Q

what is visceral pain?

A

Visceral pain happens when internal organs, such as involuntary muscles in the heart, are injured or inflamed.

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9
Q

what are the characteristics of somatic pain?

A

sharp, throbbing, aching, and localized

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10
Q

what are the characteristics of vicseral pain?

A

aching, and the pain may seem vague.

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11
Q

what is neuropathic pain?

A

damage to somatosensory nervous system

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12
Q

what are the characteristics of neuropathic pain?

A

shooting, burning, stabbing, electric shock, numbness, pins and needles

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13
Q

what is phantom pains?

A

pain or discomfort felt in an amputated limb

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14
Q

what is referred pain?

A

pain that is felt in a location other than where the pain originates

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15
Q

what are the diffrent pain mechanisms?

A

transduction

transmission

perception

modulation

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16
Q

what is transduction?

A

when a pain stimuli is converted into action potential

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17
Q

how does transduction work?

PS–>CM–> NR–> AP

A

a painful stimuli causes tissue damage, then the tissue releases chemical mediators then chemical mediators activate nociceptors, and nociceptors activate an AP

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18
Q

what are some examples of diffrent stimuli?

A
  • mechanical: pinch
  • chemical: chemical burn
  • thermal: hot drink spill
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19
Q

what is modulation?

A

alteration of pain signal

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20
Q

what are the diffrent types of modulation?

S, I

A

stimulation and inhabition

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21
Q

what are the clinical manifestations of pain?

IHr,IBP, S, DP, DTF, DQOL

A

increased HR

increased BP

Sweating

dilated pupils

decreased function of tissue

decreased wellness/quality of life

22
Q

what are complications of chronic pain?

DM, DH, DIR

A

decreased mobility

delayed healing

decreased immune response = more susceptible to infections

23
Q

what are nonmodifiable risk factors for stroke?

G(M), IA, HOPS, FHOS

A
  • gender (male)
  • increasing age
  • history of previous strokes
  • fam hisotry of strokes
24
Q

what are modifiable risk factors for stroke?

D, O, LPA, HSF, DL, S, AF

A
  • diabetes
  • obesity
  • low physical activity
  • diet high in saturated fat
  • dyslipidemia
  • smoking, cocaine, amphetamine
  • cvd- atrial fibrillation
25
what are the two diffrent kinds of stroke?
ischemic and hemorraghic
26
what is an ischemic stroke?
a type of stroke that occurs when the flow of blood to the brain is blocked
27
what are the two diffrent types of ischemic stroke?
thrombotic and embolic
28
what is thrombotic ischemic stroke?
type of stroke caused by a blood clot blocking an artery in the brain
29
what is an embolic ischemic stroke?
fragments that break from a thrombus and obstructs brain vessel causing ischemia
30
what is a hemorrhagic stroke?
occurs when a blood vessel in the brain leaks or ruptures the increase of blood damages the brain
31
what is the cause of a hemorrhagic stroke?
aneurysm
32
what is a Transcient Ischemic Attack (TIA)?
an interruption of blood flow to the brain; often an early warning sign of stroke
33
what is ARTERiosclerosis?
hardening of the arteries
34
what is ATHERosclerosis?
plaque build up in the arteries
35
what are the clinical manifestation for stroke? | P, FD, VP, LOB, DS, H, D, C
- numbness or paralysis in one side of the body - facial drooping - vision problems - balance - difficulty speaking / understanding speech - headaches - dizziness - confusion
36
what are some complications of stroke? | MS, PN, DTW+BA, D, PC, ED, M
- muscle spams - permanent numbness - damage to wernicke's and Brocas area - dysphagia - personality changes - emotional disturbances - memory
37
What are spincal cord injuries characterized by?
partial or complete loss of function or sensation below level of injury
38
what are SCI in the cervical area called?
quadriplegia, complete loss of function
39
what are SCI in the lower cervical area called?
loss of function in trunk and lower limbs, some movement in upper limbs
40
what are SCI in the upper thoraic area called?
paraplegia
41
what are SCI in lumbar area called?
parapalegia
42
what can individuals with SCI in the lumbar do?
some lower limb dysfunction, difficulty w/ walking and ambulation
43
what happens to indivduals with saccural/ coccygeal SCI? | DBB, SD, SA
- decreased bowel and bladder control - sexual dysfunction - saddle anesthesia
44
what is saddle anestheia?
loss of sensation around buttocks, inner thighs, and perineum
45
what are the complications of a SCI? | SS, NS, ADR
spinal shock neurogenic shock autonomic dysreflexia
46
what is spinal shock?
transient condition that develops immediately after a spinal cord injury
47
what are the clinical manifestations of spinal shock | LOF, FP, LOT, RBI
loss of function flaccid paralysis loss of tendon sphincter reflexes below the site on injury
48
what is neurogenic shock?
damage to sympathetic NS unopposed parasympathetic NS
49
what are the clinical manifestations of neurogenic shock? | LBP, BC, VC
low blood pressure bradycardia vasodilation
50
what is Autonomic Dysreflexia?
involves uncontrolled activation of autonomic neurons
51
Spinal cord injury occurs in two phases. Primary and secondary injury. What is the difference between the two injuries?
The primary injury refers to the direct trauma and damage of the spinal cord; penetration, dissection, or compression of the cord from a trauma such as a car accident, fall, or stab/bullet wound. The secondary injury refers to the progressive damage that occurs from the original trauma.