Pain and thermal sensation Flashcards

1
Q

What is the difference between Nociceptive pain and neuropathic pain?

A

Nociceptive:

  • stimulation of nociceptors
  • Real pain

Neuropathic:

  • Abnormal stim, bypasses nociceptor
  • Damage to peripheral nerve or CNS
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2
Q

What is the difference between Nociceptive pain and neuropathic pain?

A

Nociceptive:

  • stimulation of nociceptors
  • Real pain

Neuropathic:

  • Abnormal stim, bypasses nociceptor
  • Damage to peripheral nerve or CNS
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3
Q

What is hyperalgesia?

A

When a painful stimulus causes the perception of more pain than it should.

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4
Q

What effect does substance P have on Mast-cells?

A

-causes them to degranulate

–>inflammation and more stimulation of nociceptors

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5
Q

What effect does local inflammation have on local anesthetic?

A
  • makes it not work
  • pH is low, anesthetics don’t work
  • vasodilation allows anesthetic to wash away quickly
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6
Q

What is referred pain?

A

-The localization of visceral pain is to the region of the same-level somatic innervation

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7
Q

What is referred pain?

A

-The localization of visceral pain is to the region of the same-level somatic innervation

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8
Q

What receptor does ketamine block? What is the result?

A
  • NMDA

- analgesia

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9
Q

What receptor does ketamine block? What is the result?

A
  • NMDA

- analgesia

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10
Q

What is Allodynia?

A

-an innocuous stimulus perceived as noxious

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11
Q

What is Allodynia?

A

-an innocuous stimulus perceived as noxious

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12
Q

what is paracetamol?

A

acetaminophen

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13
Q

what is paracetamol?

A

acetaminophen

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14
Q

What is PCA?

A
  • patient-controlled analgesia
  • usually morphine
  • good b/c pt’s feel like they are in control of their pain
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15
Q

What is PCA?

A
  • patient-controlled analgesia
  • usually morphine
  • good b/c pt’s feel like they are in control of their pain
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16
Q

Chronic pain usually involves ________ damage.

A

Nerve

17
Q

What is Chronic Regional Pain Syndrome (CRPS)?

A
  • treatment causes abnormal discharges in sympathetic efferents
  • Dx confirmed by resolution of sx’s by sympathetic block
18
Q

What is the difference between CRPS 1 and 2?

A

CRPS 1 = no nerve damaged

CRPS 2 = nerve damaged

*not limited to single-nerve distribution