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E&M > Pain > Flashcards

Pain Flashcards

1
Q

Stimulation of peripheral pain nerve endings which transmit a signal to the CNS

A

Nocioception

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2
Q

Sensory & emotional experience associated with actual or potential tissue damage

A

Pain

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3
Q

Acute pain signals two things

A
  1. Real or impending tissue damage

2. Biological damage

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4
Q

Appears concurrent with either tissue damage or stress

A

Acute pain

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5
Q

Pain that persists after healing is complete

A

Chronic/persistent pain

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6
Q

What is the arbitrary time of chronic pain?

A

3 mo

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7
Q

OLDCARTS

A 
Onset
Location
Duration
Characteristics (type of pain)
Aggravating factors
Relieving factors
Temporal 
Severity (VAS)
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8
Q

Goals should be _____________ oriented, not dependent on the _______________________

A

Functionally; cessation of pain

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9
Q

5 components of pain assessment interview

A
  1. Past treatments
  2. Describe original pain
  3. Stress factors
  4. Perception of cause of continued pain
  5. Ask how pt will know when he/she will be better
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10
Q

4 body diagrams for pain assessment

A
  1. Specific anatomical location of pain
  2. Referred pain
  3. Trigger points
  4. Myofascial pain
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11
Q

5 parts of physical exam

A
  1. Movement patterns
  2. Neuro exam
  3. AROM
  4. MMT
  5. Posture
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12
Q

What does active movement exam test?

A

Contractile movement

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13
Q

What does active movement exam provide info about?(3)

A
  1. Pts ability to move
  2. Painful range
  3. Location of originating pain
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14
Q

What does a passive movement exam test?

A

Inert structures - capsule, lig, bursa, fascia

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15
Q

What does passive movement exam provide info on?

A

Gross assessment of the length of extra-articular + periarticular soft tissue

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16
Q

If A + P motion are restricted in same direction…

A

Problem with capsule or bone

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17
Q

If A + P motion are restricted in opposite directions……

A

Contractile lesion (muscle strain, pull)

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18
Q

Define resistive motion

A

Isolation of contractile tissue by isometric contraction in midrange of joint motion

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19
Q

2 exceptions to resistive motion

A
  1. Fracture close to muscle insertion causing shifting of fractured ends
  2. Inflamed structure underlying muscle
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20
Q

Strength/pain pattern

Painless + strong

A

WNL or referred pain from another area

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21
Q

Strength/pain pattern

Painful + strong

A

Minor lesion of muscle or tendon

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22
Q

Strength/pain pattern

Painless + weak

A

Disorder of nervous system
Total rupture of myotendinous unit
Disuse atrophy

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23
Q

Strength/pain pattern

Painful + weak

A

Major lesion (fracture)
Acute inflammation
Partial rupture of myotendinous unit

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24
Q

Strength/pain pattern

Painful arc

A

Tender structure pinched between two bony surfaces

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25
Strength/pain pattern Pain with repetition of movements
Intermittent claudication
26
Putting a joint in its resting position results in _________________
Least amount of pain
27
Resting position is usually where joint capsule is ____________
Most lax
28
Resting position of hip
30 degrees flexion
29
Resting position of knee
30-45 degrees flexion
30
Resting position of ankle
15 degrees plantarflexion
31
Pain that is coming from the brain
Central pain
32
Continuous central pain is usually...
Thalamic pain
33
Thalamic pain is caused by
A lesion in the thalamus
34
CRPS
Complex regional pain syndromes
35
2 CRPS
RSD + causalgia
36
RSD
Reflex sympathetic dystrophy
37
2 stages of RSD and what is happening
1. Early stage - pain with slight increase in temp, edema, muscle spasm 2. Dystrophic stage - pain with lowered skin temp, hyperhidrosis, muscle atrophy
38
Hyperhidrosis
Excessive sweating
39
Burning sensation after partial peripheral nerve injury, trophic changes
Causalgia
40
Screening for nonorganic, psych and social elements to the client's pain syndrom
Waddell's test for LBP
41
5 types of Waddell's test
``` I tenderness II simulation III distraction IV regional disturbances V overreaction ```
42
Waddell's test does not signify ________________
Malingering
43
Score of _______ indicative only of symptom magnification or possible illness behavior on Waddell's test
>3
44
3 intensity pain tools
1. VAS 2. McGill 3. Behavioral
45
2 quality pain tools
1. McGill | 2. MSPQ
46
3 effect on daily life pain tools
1. PAIRS 2. Modified Oswestry 3. PDI
47
3 fear belief pain tools
1. FABQ 2. FADQ 3. FCS
48
VAS/NRS
Visual analogue scale/numeric rating scale
49
Is the VAS subjective or objective?
Subjective
50
VAS can be used especially when trying to determine changes in pain due to (4)
1. Position 2. Weight bearing 3. Movement 4. Activity
51
MPQ
McGill Pain Questionnaire
52
Developed to provide a quantitative profile of a person's perception of their pain
MPQ
53
3 categories of MPQ
1. Sensory 2. Affective 3. Evaluative descriptors
54
MPQ includes (2)
Body diagram + VAS scale
55
MSPQ
Modified Somatic Perception Questionnaire
56
MSPQ developed to measure _____ and _______ perception
Somatic and automatic
57
PCS
Pain Catastrophizing Scale
58
Measures thoughts and feelings pt has while they are in pain
PCS
59
difference between women/men on PCS
Women have higher numbers
60
PAIRS
Pain & Impairment Relationship Scale
61
Designed to measure extent that chronic pain prohibits people from participating in normal events
PAIRS
62
High score on PAIRS indicates that the pt has linked __________ with ___________
Pain; impairment
63
Measures how pain has affected ability to manage daily life
Revised Oswestry Disability Index
64
How long does it take to administer revised Oswestry Disability Index?
1-2 min
65
PDI
Pain disability index
66
Composed of VASs that rate a subset of ADLs/IADLs
PDI
67
Cognitive beliefs about the role of the pain on ability to perform physical and work activities
FABQ
68
FADQ
Fear of daily activities questionnaire
69
PAINE
pain assessment in non-communicative elderly persons
70
pain scale for 18-24 mo
locate and ID that there is pain
71
pain scale for 3 y/o
intensity of pain
72
pain scale for 4-7 years
concrete measures ex: poker chips "pieces of hurt"
73
pain scale for 5-7 years
VAS especially color versions
74
pain scale for 10-12 years
verbal scales
75
NCPPV
non-communicating children's pain checklist
76
5 parts of NCPPV
1. vocal 2. social 3. facial 4. activity 5. physiological

E&M (24 decks)

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