L2 - Tissue Healing & Pain Flashcards

0
Q

acute or chronic in nature

A

primary injury

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1
Q

physiologic response of tissue following trauma

A

healing process

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2
Q

primary injury that produces immediate pain and disability

A

macrotrauma

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3
Q

more chronic in nature injury that is from overuse and result from repetitive loading or incorrect mechanics from normal or abnormal loads

A

microtrauma

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4
Q

a destructive and self propagating biological change in cells and tissues that leads to their dysfunction or death over hours to weeks after the primary injury

A

secondary injury

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5
Q

a protective response by an organism to remove the irritating stimulus and initiate the healing process

A

inflammation

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6
Q

5 clinical signs of inflammation

A

heat (calor), redness (rubor), swelling (tumor), pain (dolor), loss of function

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7
Q

three phases of healing

A

inflammatory, proliferation, maturation

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8
Q

inflammatory phase is usually about blank long

A

0-6 days

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9
Q

proliferation phases usually spans from about blank to blank

A

day 3 - day 20

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10
Q

proliferation phase purpose is to cover the wound and impart blank to the blank

A

strength, injury site

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11
Q

injured site has the greatest amount of blank but the blank strength of tissues can be as low as blank percent of normal tissue

A

collagen, tensile, 15

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12
Q

initial collagen that is laid down is not oriented like the original blank, but eventually it blank

A

tissue, matures

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13
Q

signs and symptoms of blank subside during proliferation phase

A

inflammation

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14
Q

maturation phase usually goes from about blank to blank

A

day 20 - year 3

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15
Q

purpose of maturation phase is blank or remodeling of the blank fibers that make up the scar tissue

A

realignment, collagen

16
Q

there are blank signs of inflammation during maturation phase

A

no

17
Q

maturation phase may be accompanied by blank that limit motion

A

adhesions

18
Q

in maturation phase, pain is felt only with blank usually

A

passive overpressure

19
Q

tissues respond to the demands placed upon them causing remodeling or realignment of fibers along lines of tensile force

A

wolff’s law

20
Q

three factors that impact rate of healing

A

edema, hemorrhage, blood supply, muscle spasm, atrophy, infection, age

21
Q

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

A

pain

22
Q

pain is subjective and acts as a blank mechanism to protect against blank

A

warning, injury

23
Q

pain experienced after injury has taken place and tissue damage is occurring

A

acute

24
Q

pain defined as pain lasting longer than six months that has low grade swelling, some tissue necrosis

A

chronic

25
Q

pain perceived to be in an area that has little relation to the pathology

A

referred

26
Q

referred can be one blank away so upper quarter screen should be used to blank the other two blank

A

joint, rule out, joints

27
Q

covered by irritation of nerves and nerve roots

A

radiating

28
Q

radiating pain question that is important is blank to narrow down to which blank is the problem

A

where is the pain?, nerve

29
Q

pain that emanates from a sclerotome (segment of bone innervated by spinal segment) and there is often a discrepancy between the site of the pain and the location of the pathology

A

deep somatic

30
Q

most common referred pain

A

kehrs sign

31
Q

four gains from rating pain

A

improved communication, directs clinician testing, standard measure for progress, documentation for physicians and insurances

32
Q

patient gain from assessing pain

A

show that they’re improving!

33
Q

establishes spatial properties of pain, assess location of pain and number of subjective components

A

pain chart

34
Q

78 word questionnaire that describes pain and takes patient about 20 mins

A

mcgill

35
Q

most common pain profile and can be used before and after interventions

A

visual analog scale

36
Q

pain management strategies

A

encouragement, education (understand why), validate pain, pain modulating modalities, patient responses to interventions to guide treatments,