pain Flashcards

1
Q

nociception

A

neural process of encoding noxious stimuli

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2
Q

nociceptors

A

cells activated by noxious stimuli
peripheral neurons transduce noxious stimuli into elec potentials to CNS

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3
Q

nociceptive pain

A

pain that arises from, actual / threatened damage to non-neural tissue
*activation of nociceptors

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4
Q

inflammatory pain

A

pain driven by inflammation
inflammatory cells to site of inflammation release substances that act on nociceptors

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5
Q

neuropathic pain

A

pain caused by lesion / disease of somatosensory ns
injury to pns or cns -> permanent damage to circuitry and connections

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6
Q

site of pain perception

A

cerebrum

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7
Q

what stimulation to nociceptors respond to & what speed?

A

high threshold, low speed

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8
Q

a fibre nociceptors

A

unspecialized, free nerve endings
thinly myelinated
conduction velocities 5
-30m/s
Fast (sharp) pain

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9
Q

c fibre nociceptors

A

unspecialized, free nerve endings
unmyelinated
conduction velocities <2 m/s
Slow (burning) pain

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10
Q

mechanical nociceptors

A

respond to mechanical stimuli

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11
Q

thermal nociceptors

A

respond to noxious temperature

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12
Q

polymodal nociceptors

A

respond to combinations of thermal and mechanical (and or chemicals or inflammatory mediators)

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13
Q

nociceptors send to cns through what horn?

A

dorsal

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14
Q

lesion of lower thoracic?

A

zone of complete loss of sensation is in a complete different site

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15
Q

sensitisation

A

e.g. lightly touch sunburn
decreased threshold to activate

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16
Q

hyperalgesia

A

increased pain from a stim that usually provokes pain

17
Q

allodynia

A

increased pain from a stim that normally doesnt provoke pain

18
Q

peripheral sensitisation

A

Increased responsiveness and reduced threshold of
nociceptive neurons in the periphery to the stimulation of their receptive fields

19
Q

central sensitisation

A
  • Increased responsiveness of nociceptive neurons in the central
    nervous system to their normal or subthreshold afferent input
20
Q

opioids act on?

A

supraspinal opioid receptors (enhance descending inhibition)
can also act in dorsal horn to inhibit excitatory NT release

21
Q

NSAIDS (ibuprofen)

A

reduce production of prostaglandins - activate and sensitise peripheral nociceptors

22
Q

local anaesthetics

A

inhibit ap propagation in axons of peripheral sensory neurons