Pain

Question 1

What sympathetic responses can accompany acute pain?

Answer 1

increased HR/BP
pupillary dilation
sweating
hyperventilating
anxiety

Question 2

A patient with fibromyalgia complains of burning/aching pain. What might you tell them about this, in regards to why this may be happening?

Answer 2

they are experiencing a central neurogenic pain response; d/t CNS involvement

• however recall that this is musculoskeletal pain, just likely with a CNS component

Question 3

Central thalamic pain can occur as a result of a CVA to what area?

Answer 3

ventral posterolateral thalamus

Question 4

Compare central neurogenic pain vs peripheral.

Answer 4

central = d/t injury/disease to a component of the CNS

peripheral = d/t mechanical/chemical damage to peripheral nerves

Question 5

Hyperanalgesia and allodynia are symptoms of what type of pain?

Answer 5

central neurogenic pain

Question 6

What is complex regional pain syndrome?

Answer 6

disorder that develops after an injury to a body part, resulting in regional pain disproportionate to injury

Question 7

What are characteristics of CRPS?

Answer 7

1) allodynia (pain on light touch)
2) cool skin, swelling, edema
3) thin/pale/cyanotic skin in middle stage
4) late stage fibrosis

Question 8

Herpes zoster is caused by inflammation of what structure?

Answer 8

posterior root ganglion of affected spinal nerve

Question 9

What disorder is characterized by well-defined, highly sensitive trigger points?

Answer 9

myofascial pain syndrome

- a subset of peripheral neurogenic pain that’s musculoskeletal

Question 10

A nonarticular reheumatic disease of unknown origin with widespread pain, as well as tenderness of muscles/soft tissues is known as what?

Answer 10

fibro