Pain & Analgesia Flashcards

1
Q

What are the 3 forms of pain?

A

Nociceptive (Acute e.g. sharp prick)
Inflammatory (Prolonged e.g. burn)
Pathological

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2
Q

What are the nociceptors?

A

Peripheral sensory afferent neurons that are activated by intense harmful stimuli (e.g. thermal, mechanical)

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3
Q

Is nociceptive pain high or low threshold?

A

High threshold

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4
Q

What can activate inflammatory pain response?

A

Immune system, injury or infection

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5
Q

What causes pathological pain?

A

Abnormal nervous system function

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6
Q

How does inflammatory pain effect general sensitivity to pain?

A

Increases sensitivity

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7
Q

What are the the subtypes of nociceptor?

A

A-delta
C-fibres

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8
Q

What do A-delta fibres detect?

A

Mechanical/thermal stimuli
mediate ‘first’ or fast pain

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9
Q

What do C-fibres detect?

A

‘second’ or slow pain

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9
Q

Are A-delta or C-fibres myelinated?

A

A-delta fibres

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10
Q

What layer of spinal cord lamina do A-delta fibres terminate in?

A

1

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11
Q

What layer of spinal cord lamina do C-fibres terminate in?

A

2

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12
Q

What fibres are responsible for the spinothalamic tract?

A

A-delta

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13
Q

What fibres are responsible for the spinoreticular tract?

A

C-fibres

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14
Q

What does the spinoreticular tract trigger?

A

The emotional/motivational component of pain

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15
Q

What is the spinomesencephalic tract responsible for triggering?

A

Modulation of pain
Emotional side of pain
Control or inhibition of pain

16
Q

What is the spinothalamic tract responsible for?

A

Acts as a ‘warning system’
- Location
- Severity
- Duration

17
Q

What is the periaqueductal grey responsible for?

A

Pain control & inhibition

18
Q

How can analgesia reduce pain?

A
  • Act at site of injury to reduce nociceptor sensitisation
  • Suppressing synaptic transmission of nociceptive signals
  • Activate descending inhibitory controls (e.g. opiods)
19
Q

How do NSAIDs reduce pain?

A

Reducing nociceptor sensitisation

20
Q

How do opioids reduce pain?

A

They bind to opioid receptors which act to reduce synaptic transmission