Intro to pain Flashcards

1
Q

definition of nociception

A

the neural process of encoding noxious stimuli (damaging or threatening damage to normal tissues)

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2
Q

definition of pain

A

an unpleasant sensory and emotional experience associated with or resembling that associated with, actual potential tissue damage

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3
Q

what are the multidimensional components of pain and what does this mean for individuals

A
sensory discriminative component 
affective (emotional) component 
autonomic component 
motor component 
means that pain is unique to the individual and depends on past experiences, mood, cognition and present environmental stimuli
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4
Q

are all instances of pain useful?

A

no some are counterproductive

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5
Q

why do we have pain - beneficial functions and absence

A
withdrawal reflexes minimise damage 
aoid future harm
promotes healing 
motivation to seek treatment 
absense: injury, infection, self-mutilation, skeletal deformity = early death
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6
Q

how canpain be describd

A
intensity = 1-10, mild, moderate 
character = sharp etc 
location + localisation 
time 
behaviour 
affect (emotion)
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7
Q

what are the physiological perspectives of pain

A

broad classification, time, location, stimulus, character, localisation, aetiology, intensity

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8
Q

describe the definition of nociceptive pain

A

pain from physical damage or potential damage to the body

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9
Q

what noxious stimulants does nociceptive pain respond to

A

heat, cold, intense mechanical force, chemical irritants

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10
Q

what is the threshold of nociceptive pain and its 3 sub classes

A

adaptive, high-threshold pain

superficial somatc pain, deep somatic pain, visceral somatic pain

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11
Q

describe superficial somatic pain in terms of tissue, stimuli, character, localisation

A

skin + superficial tissues
burns 1st degree, minor lacerations/abrasions, chemicals
sharp
well-defined, easy to locate

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12
Q

describe deep somatic pain in terms of tissue, stimuli, character and localisation

A

bone, tendons, ligaments, blood vessels, muscles + fascia
sprains, strains, fractures
dull, aching,
difficult to localise

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13
Q

describe visceral pain in terms of tissue, stimuli, character + localisation

A

internal organs
hypoxia, inflammation, stretching
dull, deep + squeezing pain, difficult to explain
diffuse, difficult to localise, distant from the skin

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14
Q

overview if normal pain pathway

A

noxious stimulus -> transduction by nociceptor -> conduction + transmission by nociceptive neurons -> motor pathway activation + modulation -> perception

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15
Q

what is involved in the transduction by a nociceptor

A

high-threshold sensory receptor

of the peripheral somatosensory ns that is capable of transducing and encoding noxious stimuli

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16
Q

what is meant by perception

A

becomes a multidimensional conscious sensation, emotional and behavioural experience

17
Q

what is inflammatory pain associated with

A

tissue injury and peripheral inflammation

18
Q

what is the threshold of inflammatory pain and a description of hyperalgesia and allodynia

A

adaptive, low-threshold pain = hypersensitive (spontaneous)
hyperalgesia = increased pain from a stimulus that normally provokes pain
allodynia = pain due to a stimulus that does not normally provoke pain

19
Q

what is the function of inflammatory pain

A

promotes protection and repair

20
Q

what is the threshold of pathological pain and what are its 3 subtypes

A

maladaptive, low threshold pain, disease state

neuropathic, phantom (paralysed/amputated limbs) and psychogenic (caused by mental state)

21
Q

what is the source of neuropathic pain

A

pain stems from damage to nerves after initial injury

22
Q

how does neuropathic pain manifest

A

hyperalgesia, allodynia, dysaesthesia

23
Q

what does neuropathic pain feel like and when does it arise

A

shooting, electric shock, tingling, burning, aching, dull pain
continuous or episodic