Pain Flashcards

1
Q

How is pain defined?

A

An unpleasant sensory experience associated with or resembling actual or potential tissue damage

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2
Q

How long does pain need to last for it to be defined as chronic pain?

A

Over 3 months

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3
Q

What is neuropathic pain?

A

Pain caused by a lesion or disease of the somatosensory system

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4
Q

What is dysethesia?

A

An unpleasant or abnormal sensation e.g. Itching or burning and is a symptom of neuropathic pain

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5
Q

What is hyperesthesia?

A

Increased sensitivity to stimulation, and is a symptom of neuropathic pain

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6
Q

What is hyperalgesia?

A

Increased sensitivity to a painful stimulus and is a symptom of neuropathic pain

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7
Q

What is allodynia?

A

Feeling pain when the stimuli isn’t painful, and is a symptom of neuropathic pain

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8
Q

What are common sensory symptoms in neuropathic pain?

A

Electric shock like feelings, numbness, burning, throbbing etc…

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9
Q

What is the most common cause of neuropathic pain?

A

Diabetes

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10
Q

What causes neuropathy in the nerves?

A

Changes to the nerves

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11
Q

What is the cause of neuropathic pain in multiple sclerosis?

A

If demyelination of nerves happens in the somatosensory processing areas, it may lead to changes in sensory functioning and chronic pain

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12
Q

What is trigeminal neuralgia?

A

Facial pain due to changes in the trigeminal nerve, because of demyelination in the brain stem

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13
Q

What is Lhermitte’s sign?

A

Electric shock pain cuts down spinal cord and head flexion

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14
Q

What is central dynesthesis?

A

Deep aching pain, usually in both legs

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15
Q

What are the three diagnosis techniques of pain?

A

Visual analogue scale
Brief pain inventory
Pain detect

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16
Q

What does quantitative sensory testing measure?

A

Tests the periphery and sensitivity to different stimuli

17
Q

What three types of pain does the quantitative sensory testing measure?

A

Cold, heat and mechanical

18
Q

What is the mechanism of action of amytriptyline?

A

Blocks the reuptake of serotonin

19
Q

What is the mechanism of action of duloxetine?

A

Blocks the reuptake of serotonin

20
Q

What is the mechanism of action of gabapentin?

A

Reduces glutamate and sensory neuropeptides

21
Q

What is carbamazepine used for?

A

Trigeminal neuralgia

22
Q

What is the mechanism of action of carbamazepine?

A

Effects GABA

23
Q

What are cannaboid receptors used for?

A

CB1 - cognitive effects
CB2 - pain relief

24
Q

What is spinal cord stimulation used for?

A

Blocks pain signals from the spinothalamic tract via electrical stimulation
Helps emotional processing and the pain matrix

25
Q

What evidence shows spinal cord stimulation works?

A

Paralysed patients have walked again