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Neurology Year 3 > Management of Chronic Pain > Flashcards

Management of Chronic Pain Flashcards

1
Q

What are the symptoms of Chronic Regional Pain Syndrome?

A 
Allodynia
Hyperalgesia
Swelling
Hair and nail changes
Osteopenia
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2
Q

What is the treatment for Chronic Regional Pain Syndrome?

A

Physiotherapy

Anti Neuropathics

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3
Q

What is allodynia ?

A

Experience of pain from non painful stimuli e.g. cotton wool cutting hair etc

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4
Q

What is Nociceptive pain?

A

Pain from an injury relayed via normal nervous system

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5
Q

What is neuropathic pain?

A

Pain generated in the nervous system

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6
Q

What s mixed pain?

A

Pain from both relayed and produced by the nervous system e.g. cancer

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7
Q

What are the three subgroups of pain?

A

Nociceptive
Neuropathic
Mixed

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8
Q

Describe neuropathic pain?

A

Burning
Shooting
Tingling

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9
Q

What is hyperalgesia ?

A

Stimuli is more painful than would be expected.

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10
Q

List some common examples of neuropathic pain,

A 
Shingles
Diabetic neuropathy
Surgery
Trauma
Amputation
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11
Q

List some anti neuropathic drugs used in the treatment of chronic pain?

A 
Tricyclic antidepressants 
Anticonvulsants
Opiods
NMDA Antagonist 
Sodium Channel blockers
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12
Q

Give an example of a tricyclic antidepressant used in the treatment of chronic pain.

A

Amitriptyline

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13
Q

Give and example of a anticonvulsant used in the treatment of chronic pain.

A

gabapentin

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14
Q

Give an example of an opioid used in the treatment of chronic pain.

A

Morphine

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15
Q

Give an example of an NMDA Antagonist used in the treatment of chronic pain.

A

Ketamine

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16
Q

Give an example of a Na+ channel blocker used in the treatment of chronic pain.

A

Lignocaine

17
Q

In children what is used to treat neuropathic pain?

A

Topical Capsacin

Topical Levomenthol

18
Q

In the pain clinic what therapies can be offered in the treatment of neuropathic pain?

A 
TENS
Acupuncture
Nerve blockers
Intrathecal drug delivery
Spinal chord stimulation
19
Q

What procedures are available but not widely used in the treatment of neuropathic pain?

A

Lidocaine infusions
Epidural steroids
Facet denervation
Stellate ganglion block

20
Q

What Ion channel if present is likely to cause abnormal or increased pain?

A

SCN9A

21
Q

Delayed amputation results in a reduced incidence of phantom pain? T/F

A

False

Increases likelihood of phantom pain

22
Q

What is remapping in context of amputation?

A

Area of the sensory cortex related to the rising limb is taken over by other body parts .

23
Q

What can remapping result in?

A

Association of missing limb to other body parts.

For example may touch the face and feel it on the missing limb.

Neurology Year 3 (29 decks)

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