pain: acute and chronic Flashcards

1
Q

definition of pain

A

unpleasant sensory and emotional experience associated with actual or potentially tissue damaged

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

acute pain

A

sudden onset and usually result of a clearly defined cause i.e. injury

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

nociceptive pain

A

pain that arises from actual or threatened damage to non neural tissue and is due to activation of noicieptors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

chronic pain

A

pain lasting more than 12 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

nociceptive stimulus

A

an actual or potential tissue damaging event transduced and encoded by noicieptors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

nociceptor

A

a high threshold sensory receptor of the peripheral somatosensory NS that is capable of transfusing or edging noixious stimuli

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

noxious stimuli

A

stimulus that is damaging or threatens damage to normal tissue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

types of chronic pain

A

inflammatory pain

neuropahtic pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what is inflammatory pain

A

associated with tissue damage and resulting inflammatory process

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what is neuropathic pain

A

pain caused by a lesion or disease of the somatosensory NS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what is sensitisation

A

increased responsiveness of noiceptive neurones to their normal input

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what is hyperalgesia

A

increased pain from stimulus the normally provokes pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

allodynia

A

pain due to a stimulus that does not usually cause pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what do neuropeptides do

A

act as neurotransmitters and lead to increased inflammation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

peripheral sensitisation

A

increased responsiveness/reduced threshold of noicpeptive neuroens in the PNS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

central sensitisation

A

increased responsiveness of noiceptive neurones in the CNS to normal afferent input

17
Q

peripheral elements of chronic pain

A

primary afferent nerve fibres

sensory nerve fibres

18
Q

central elements of pain

A

terminal of sensory fibre in dorsal horn

neural transmission across to dental neurone

19
Q

nociceptors in peripheral nerves

A
A delta
C fibres (peptinergic/non peptidergic)§
20
Q

what channels will there be at nerve terminals for noicpetors

A

TRP channels

others

21
Q

explain transmission in the dorsal horn

A

glutamate released from afferent fibres
activates AMPA
this leads to a reposnce in the dorsal horn neurones

22
Q

what contributes to the sensitivity of the noicpetors

A

inflammatory soup

23
Q

explain contribution of glial cells in central sensiisation

A

activation of microgila and astrocytes cause release of cytokines
increase AMPA and NMDA receptor activity, increase I neuronal excitability

24
Q

explain central sensitisation

A

(increase in synaptic efficacy between terminal and dorsal horn)
prolonged activity of noicpeptors = release glutamate
AMPA and NMDA remove mg block
increases Ca into pre
increased excitability of post cell