Pain

Question 1

General pain classification

Answer 1

acute <6w
subacute >6w <3m
chronic >3m

Question 2

PQRST

Answer 2

P:Precipitation/provocation/palliating factor
Q: Quality, quantity
R: region and radiation
S: severity (subjective)
T: Timing or time related

Question 3

Red flags

Answer 3

Severe pain 7/10, obvious fracture, joint deformity, inability to bear weight, pain >14d, nose bleed >20m, nausea, vomiting, headache, eye pain

Question 4

PRICE

Answer 4

Protect, rest for 24h, ice for 48 then heat, compression after 24h, elevate

Question 5

Follow up

Answer 5

F/U at 7 days for IESA
F/U at 14 days for no pain

Question 6

Lower back pain risk factors

Answer 6

45-64, tall, stress, stairs, obesity, physical demand, disabilities

Question 7

Tension headache frequency

Answer 7

Episodic <1/m <10/y
Frequent <15/m
Chronic >15/m

Question 8

TTH vs migraine

Answer 8

TTH should be bilateral, non pulsating, mild/moderate, no vomiting/photophobia, 30min-7d

Question 9

headache redflags

Answer 9

> 50 <5, thunderclap headache, onset with activity, post trauma, check stroke Sx, med induced/overuse

Question 10

acetaminophen

Answer 10

Adult >12
350-500mg Q4-6h
1000mg Q6h
Child <12
10-15mg/kg/dose Q4-6h max 5 doses
max 1.625mg
Renal impairment
max 3.25mg

Question 11

ASA

Answer 11

adult >18
325-1000mg Q4-6h max 4g

Question 12

ibuprofen

Answer 12

200-400mg q4-6h max 3.2g daily or 1.2mg for self care
child <12yo
5-10mg/kg/dose Q6-8H max 40mg/kg/day
use sparingly in 1st and 2nd do not in 3rd

Question 13

Naproxen

Answer 13

220 Q8-12h 440mg max for selfcare
use sparingly in 1st and 2nd do not use in 3rd