Pain and Temperature Transmission Flashcards

1
Q

what are nociceptors?

A

free nerve endings located in skin, bone, joints and blood vessels that detect pain transmission

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2
Q

what are thermoreceptors?

A

free nerve endings in the skin that respond to warmth or coolness

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3
Q

what is the type of stimulus and temperature range for the TRPV2 receptor?

A
  • noxious heat
  • above 125 F
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4
Q

what is the type of stimulus and temperature range for the TRPV1 receptor?

A
  • heat, capsaicin
  • above 109 F
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5
Q

what is the type of stimulus and temperature range for the TRPV3 receptor?

A
  • warmth
  • above 88 F
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6
Q

what is the type of stimulus and temperature range for the TRPV4 receptor?

A
  • warmth for internal body temperature of blood (found only in hypothalamus and spinal cord)
  • above 77 F
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7
Q

what is the type of stimulus and temperature range for the TRPM8 receptor?

A
  • coolness: menthol or mint
  • below 82 F
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8
Q

what is the type of stimulus and temperature range for the TRPA1 receptor?

A
  • noxious cold
  • below 64 F
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9
Q

what is physiological (nociceptive) pain?

A

the neural processes of encoding and processing noxious stimuli

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10
Q

what is neuropathic (intractable) pain?

A

result from injury to the peripheral or CNS that causes permanent changes in circuit sensitivity and CNS connections

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11
Q

list the steps of the somatosensory anteriolateral pathway

A

dorsal root ganglion —–> dorsal horn —> substantia gelatinosa —–> decussation via the anterior white commissure —-> anteriolateral corner of spinal cord —-> thalamus —–> ventral posteriorlateral nucleus ——> primary somatosensory cortex, cingulate cortex or insular cortex

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12
Q

what type of information does the anterior cingulate cortex process?

A

emotional learning

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13
Q

what type of information does the insula process?

A

self awareness, sense of self in pain, sense of visceral pain (gastric distention)

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14
Q

what type of information does the prefrontal cortex process?

A

anticipation of pain

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15
Q

what type of information does the periaqueductal grey process?

A

important sites of endogenous pain inhibition

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16
Q

where does the periaqueductal grey (PAG) project to in a descending pathway?

A

brain stem regions like the locus coeruleus, rostral ventromedial medulla and raphe nucleus

17
Q

what is neuropathic pain?

A

altered physiology of touch and pain processing caused by damage or disease to the nervous system

18
Q

what is allodynia?

A

pain produced by normally non-painful stimuli

19
Q

what is hyperalgesia?

A

heightened pain response to a painful stimulus

20
Q

what is peripheral sensitzation?

A

a reduction in threshold and an increase in responsiveness of the peripheral ends of nociceptors

21
Q

what is central sensitization?

A

increase in the excitability of neurons within the central nervous system either due to peripheral or central nerve damage and inflammation