Pain

Question 1

Location of Stellate ganglion

Answer 1

C6 vertebral body/TP intersection

Question 2

Tx post-herpetic neuralgia

Answer 2

TCAs
Anticonvulsants - Lyrica, gabapentin
Topicals
Opioids - Tramadol

Question 3

Tx trigeminal neuralgia

Answer 3

carbamazepine

Question 4

Tx hemicrania

Answer 4

indomethacin –> rhizotomy

short severe unilateral headache with eye, nasal and forehead involvement

Question 5

Angle of Petit Landmarks

Answer 5

Inferior - iliac crest
Posterior - latissimus dorsi
Anterior - external oblique

Nerves blocked = intercostal, subcostal, ilioinguinal, iliohyogastric

Question 6

Tx CRPS

Answer 6

PT, TCAs, Gabapentin, sympathetic blocks, intrathecal meds, spinal cord stim

Question 7

Respiratory changes with spinal

Answer 7

Dec peak expiratory flow rate

Question 8

Order of nerve blockade with spinal

Answer 8

Sympathetic –> C –> A-delta –> A-beta –> A-alpha are last

Question 9

Indications for spinal cord stimulator

Answer 9

Failed back syndrome
Post-laminectomy syndrome
Refractory angina
PVD
CRPS type 1

Targets dorsal horn of SC

Question 10

Block for trigeminal neuralgia

Answer 10

Gasserian ganglion

Question 11

Post-polio syndrome features

Answer 11

Fatigue
Weakness
*Chronic pain*
Cold intolerance
Dysphagia 
OSA, hypo ventilation