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

17
Q

maturation phase may be accompanied by blank that limit motion

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

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

24
pain defined as pain lasting longer than six months that has low grade swelling, some tissue necrosis
chronic
25
pain perceived to be in an area that has little relation to the pathology
referred
26
referred can be one blank away so upper quarter screen should be used to blank the other two blank
joint, rule out, joints
27
covered by irritation of nerves and nerve roots
radiating
28
radiating pain question that is important is blank to narrow down to which blank is the problem
where is the pain?, nerve
29
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
deep somatic
30
most common referred pain
kehrs sign
31
four gains from rating pain
improved communication, directs clinician testing, standard measure for progress, documentation for physicians and insurances
32
patient gain from assessing pain
show that they're improving!
33
establishes spatial properties of pain, assess location of pain and number of subjective components
pain chart
34
78 word questionnaire that describes pain and takes patient about 20 mins
mcgill
35
most common pain profile and can be used before and after interventions
visual analog scale
36
pain management strategies
encouragement, education (understand why), validate pain, pain modulating modalities, patient responses to interventions to guide treatments,