neuropathic pain Flashcards

1
Q

what

A

abnormal functioning of sensory nerves delivering abnormal and painful signals to brain

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2
Q

causes

A
shingles
nerve damage from surgery 
MS
diabetes 
trigeminal neuralgia
complex regional pain syndrome
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3
Q

typical features

A
burning 
tingling
pins + needles
electric shock
loss touch sensation
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4
Q

DN4 questionnaire

A

assess characteristic of pain and examinatino

score of 4+ indicates neuropathic pain

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5
Q

first line medications

A

amitryptiline
duloxetine
gabapentin
pregabalin

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6
Q

Mx - option for flares

A

tramadol

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7
Q

Mx if trigeminal neuralgia

A

carbamazepine

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8
Q

Complex Regional Pain Syndrome

A

areas affected by abnormal nerve functioning causing neuropathic pain and abnormal sensation

usually isolated to one limb

usually triggered by injury

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9
Q

Complex Regional Pain Syndrome - features

A
painful and hypersensitive 
swell 
colour change 
temp changes
sweating
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