Facial Pain Flashcards

1
Q

how do you assess a pain patient

A

physical symptoms - PAIN scores
emotional symptoms
QOL (quality of life) scores

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2
Q

how is pain felt

A

nociception peripheral nerve transmission
spinal modulation
central appreciation

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3
Q

what nerve transmits pain in the face

A

trigeminal nerve

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4
Q

what is meant by embryonic nerve supply

A

nerves supply the areas that came from the same pharyngeal arch

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5
Q

how do cranial nerves communicate with spinal nerves

A

through the nuclei

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6
Q

what information do autonomic nerves carry

A

what is going on in the tissues and pain information

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7
Q

why is information sent from the autonomic nerves much more distressing than somatic nerves

A

as it goes through the basal ganglia

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8
Q

what is autonomic referred pain

A

can get pain from one area in another
(angina presents as pain in jaw)

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9
Q

what is the somatic reflex arc

A

if you hit someones knee it will jerk
muscle contraction comes with somatic pain

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10
Q

what is autonomic reflex arc

A

when pain is present you will get sweating
(vasomotor and secretomotor responses)

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11
Q

what is gate control of chronic pain

A

if you rub the bit you have banged it does not feel sore

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12
Q

what is descending facilitation and inhibition

A

nerves comes down from the brain to spinal chord which can change the way you feel (if you are anxious these nerves tell the spinal chord to expect worse pain)

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13
Q

what is chronic regional pain syndrome

A

delocalised pain (spreads)
feeling of swelling and heat
colour change in overlying skin
autonomic changes
significantly disabling

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14
Q

why does chronic regional pain syndrome occur

A

due to autonomic nerve damage (after injury)

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